Custom Care Physical Therapy, Llc.
NPI #1508005026 in Forest Grove, Oregon
Provider Information
- NPI Number
- 1508005026
- Entity Type
- Organization
- Organization Name
- Custom Care Physical Therapy, Llc.
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Feb 5, 2009
- Last Updated
- May 24, 2022
Practice Location
- Address
- 3838 PACIFIC AVE
- City
- Forest Grove
- State
- Oregon
- ZIP Code
- 97116-2224
- Phone
- (503) 357-1706
Authorized Official
- Name
- LAUREN LEE MASON
- Title
- GENERAL MANAGER
- Phone
- (503) 357-1706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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