Sandy Sportscare Physical Therapy LLC

NPI #1376193425 in Sandy, Oregon

Provider Information

NPI Number: 1376193425
Entity Type: Organization
Organization Name: Sandy Sportscare Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 19, 2019
Last Updated: Sep 19, 2019

Practice Location

Address: 16621 CHAMPION WAY STE 100
City: Sandy
State: Oregon
ZIP Code: 97055-7258
Phone: (503) 668-5321

Authorized Official

Name: DOMONIQUE MARIE RUSCITTI
Title: BILLER AND CONTRACTING SPECIALIST
Phone: (971) 274-2861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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