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Organization

BEND PHYSICAL THERAPY ASSOCIATES

Active
Other names
TAI Central Oregon Redmond
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TODD ROBERT GIFFORD PT (COO)
(800) 219-8835
Entity
Organization

Contact information

Practice address
413 NW LARCH AVE, SUITE 102, REDMOND, OR 97756-1361
(541) 923-7494
(541) 504-9153
Mailing address
11481 SW HALL BLVD, SUITE 201, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 443-1402

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
OR
225X00000X
Occupational Therapist
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
197671000
OWCP
OR
Enumeration date
01/04/2006
Last updated
09/09/2010
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