Organization
ATHLETIC ADVANTAGE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL DILLAVOU PT, DPT (OWNER, PHYSICAL THERAPIST)
(541) 519-0822
Entity
Organization
Contact information
Practice address
2412 E O AVE, LA GRANDE, OR 97850-3853
(541) 519-0822
Mailing address
2412 E O AVE, LA GRANDE, OR 97850-3853
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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