Tualatin Physical Therapy & Sports Rehab INC

NPI #1407037146 in Tualatin, Oregon

Provider Information

NPI Number: 1407037146
Entity Type: Organization
Organization Name: Tualatin Physical Therapy & Sports Rehab INC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 23, 2007
Last Updated: Apr 8, 2011

Practice Location

Address: 19767 SW 72ND AVE
Address 2: SUITE 102
City: Tualatin
State: Oregon
ZIP Code: 97062-8354
Phone: (503) 885-2199

Authorized Official

Name: MR. BRYAN J CASPER, PT
Title: PRESIDENT
Phone: (503) 885-2199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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