Individual
TODD COVINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
928 S 67TH ST, SPRINGFIELD, OR 97478-4734
(541) 914-6175
Mailing address
928 S 67TH ST, SPRINGFIELD, OR 97478-4734
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1531
OR
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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