Broadway Physical Therapy and Sports Rehabilitation, LLC

NPI #1326185950 in Portland, Oregon

Provider Information

NPI Number: 1326185950
Entity Type: Organization
Organization Name: Broadway Physical Therapy and Sports Rehabilitation, LLC
Primary Specialty: Specialist
Enumeration Date: Jan 31, 2007
Last Updated: Nov 10, 2014

Practice Location

Address: 3016 NE BROADWAY ST
City: Portland
State: Oregon
ZIP Code: 97232-1811
Phone: (503) 287-6636

Authorized Official

Name: ELLEN GROVER
Title: PHYSICAL THERAPIST AND OWNER
Phone: (503) 287-6636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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