Organization
DESTINATION REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL-ANN NELSON PT (EXECUTIVE DIRECTOR)
(541) 241-6837
Entity
Organization
Contact information
Practice address
64745 MELINDA CT, BEND, OR 97701
(541) 241-6837
(971) 242-4088
Mailing address
PO BOX 8316, BEND, OR 97708
(541) 241-6837
(971) 242-4088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/28/2016
Last updated
02/24/2020
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