Providence Silverton Rehab LLC

NPI #1659444610 in Silverton, Oregon

Provider Information

NPI Number: 1659444610
Entity Type: Organization
Organization Name: Providence Silverton Rehab LLC
Subpart: Yes (part of a larger organization)
Parent Organization: PROVIDENCE SILVERTON REHAB LLC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 16, 2006
Last Updated: Oct 1, 2012

Practice Location

Address: 240 PHELPS ST
City: Silverton
State: Oregon
ZIP Code: 97381-1927
Phone: (503) 873-1647

Authorized Official

Name: DANA L MONTGOMERY
Title: CHIEF FINANCIAL OFFICER
Phone: (503) 893-7295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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