Willamette Spine Center Physical Therapy & Rehabilitation, LLC

NPI #1063548329 in Salem, Oregon

Provider Information

NPI Number: 1063548329
Entity Type: Organization
Organization Name: Willamette Spine Center Physical Therapy & Rehabilitation, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Feb 23, 2007
Last Updated: Jul 31, 2009

Practice Location

Address: 2480 LIBERTY ST NE STE 140
City: Salem
State: Oregon
ZIP Code: 97303-6781
Phone: (503) 763-3525

Authorized Official

Name: MR. MICHAEL CHARLES GIBBONS, PT
Title: OWNER AND PHYSICAL THERAPIST
Phone: (503) 763-3525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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