Advance Sports & Spine Therapy LLC
NPI #1669405767 in Wilsonville, Oregon
Provider Information
- NPI Number
- 1669405767
- Entity Type
- Organization
- Organization Name
- Advance Sports & Spine Therapy LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jul 9, 2006
- Last Updated
- Aug 3, 2023
Practice Location
- Address
- 25030 PARKWAY AVE
- Address 2
- #101
- City
- Wilsonville
- State
- Oregon
- ZIP Code
- 97070
- Phone
- (503) 723-0347
Authorized Official
- Name
- MR. NOEL M TENOSO, P.T.
- Title
- OWNER
- Phone
- (503) 723-0347
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
| Physical Therapist |
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