Organization
HIGH DESERT THERAPY ASSOCIATES INC
Active
Other names
La Pine Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PHILIP SMITH (TREASURER BUSINESS MANAGER)
(541) 593-8535
Entity
Organization
Contact information
Practice address
56881 ENTERPRISE DR, SUNRIVER, OR 97707
(541) 593-8535
(541) 593-0316
Mailing address
PO BOX 4185, SUNRIVER, OR 97707
(541) 593-8535
(541) 593-0316
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2006
Last updated
04/28/2008
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