Sportscare Physical Therapy @ Cornell, LLC

NPI #1609635507 in Gresham, Oregon

Provider Information

NPI Number
1609635507
Entity Type
Organization
Organization Name
Sportscare Physical Therapy @ Cornell, LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Mar 14, 2024
Last Updated
Mar 14, 2024

Practice Location

Address
24076 SE STARK ST STE 210
State
Oregon
ZIP Code
97030-3376
Phone
(503) 491-1666

Authorized Official

Name
PENNY TACKER
Title
REGULATORY SPECIALIST
Phone
(713) 297-7052

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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