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Organization

OUTSIDE MOVEMENT PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE TODISCO PT (OWNER/PHYSICAL THERAPIST)
(802) 318-2254
Entity
Organization

Contact information

Practice address
1010 NW HARRIMAN ST, BEND, OR 97703-1912
(802) 318-2254
Mailing address
1645 NE SHEPARD RD, BEND, OR 97701-4164
(802) 318-2254

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
10/12/2020
Last updated
10/12/2020
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