North Lake Physical Therapy and Rehabilitation, Inc.

NPI #1003183302 in Milwaukie, Oregon

Provider Information

NPI Number: 1003183302
Entity Type: Organization
Organization Name: North Lake Physical Therapy and Rehabilitation, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: NORTH LAKE PHYSICAL THERAPY AND REHABILITATION, INC.
Primary Specialty: Physical Therapist
Enumeration Date: Nov 30, 2011
Last Updated: Nov 30, 2011

Practice Location

Address: 4606 SE BOARDMAN AVE
City: Milwaukie
State: Oregon
ZIP Code: 97267-5930
Phone: (503) 353-9776

Authorized Official

Name: MICHAEL CHOATE, MSPT
Title: PRESIDENT, NORTH LAKE PHYSICAL THER
Phone: (503) 636-3028

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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