Organization
ON THE GO KINESIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNA WEIDINGER DPT (OWNER/ PT)
(714) 356-4440
Entity
Organization
Contact information
Practice address
20886 DESERT WOODS DR, BEND, OR 97702-2836
(573) 680-2276
Mailing address
20886 DESERT WOODS DR, BEND, OR 97702-2836
(573) 680-2276
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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