Ptconnectllc

NPI #1023699964 in Keizer, Oregon

Provider Information

NPI Number: 1023699964
Entity Type: Organization
Organization Name: Ptconnectllc
Primary Specialty: Physical Therapist
Enumeration Date: Apr 20, 2021
Last Updated: Mar 16, 2022

Practice Location

Address: 7468 EVERWOOD ST NE
City: Keizer
State: Oregon
ZIP Code: 97303-7858
Phone: (503) 451-5058

Authorized Official

Name: FAHRUELDIN DEAN EBED, DPT
Title: CEO
Phone: (503) 473-6553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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