Benchmark Physical Therapy of Oregon LLC

NPI #1376904425 in Medford, Oregon

Provider Information

NPI Number: 1376904425
Entity Type: Organization
Organization Name: Benchmark Physical Therapy of Oregon LLC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 17, 2016
Last Updated: Mar 17, 2016

Practice Location

Address: 3512 EXCEL DR STE 105
City: Medford
State: Oregon
ZIP Code: 97504-9850
Phone: (541) 245-0419

Authorized Official

Name: KEVIN JOHANNESON
Title: VP REVENUE CYCLE
Phone: (423) 238-8923

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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