Proactive Physical Therapy Tualatin

NPI #1003295775 in Tualatin, Oregon

Provider Information

NPI Number: 1003295775
Entity Type: Organization
Organization Name: Proactive Physical Therapy Tualatin
Primary Specialty: Physical Therapist
Enumeration Date: May 27, 2015
Last Updated: Feb 26, 2016

Practice Location

Address: 19255 SW 65TH AVE
Address 2: SUITE 250
City: Tualatin
State: Oregon
ZIP Code: 97062-7451
Phone: (503) 545-0526

Authorized Official

Name: MICHELLE MCCALL
Title: BILLING DIRECTOR / CREDENTIALING
Phone: (503) 489-6250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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