Organization
PT PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SURFACE MPT (OWNER)
(503) 648-2441
Entity
Organization
Contact information
Practice address
1050 SW BASELINE ST STE A8, HILLSBORO, OR 97123-3873
(503) 648-2441
Mailing address
20449 SW TV HWY # 256, ALOHA, OR 97006-1700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1627
OR
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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