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Organization

THERAPEUTIC ASSOCIATES INC

Active
Other names
TAI Mt. Ashland Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TODD ROBERT GIFFORD PT (INFORMATION SYSTEMS DIRECTOR)
(503) 443-6156
Entity
Organization

Contact information

Practice address
1526 SISKIYOU BLVD, ASHLAND, OR 97520-2406
(541) 488-2728
(541) 488-8905
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

Other

Enumeration date
12/19/2005
Last updated
05/18/2012
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