Dna Physical Therapy and Athletic Club, LLC

NPI #1710403340 in Beaverton, Oregon

Provider Information

NPI Number: 1710403340
Entity Type: Organization
Organization Name: Dna Physical Therapy and Athletic Club, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 15, 2017
Last Updated: Nov 30, 2017

Practice Location

Address: 12305 SW HORIZON BLVD STE 201
City: Beaverton
State: Oregon
ZIP Code: 97007-9500
Phone: (971) 708-6113

Authorized Official

Name: ANDREA PATRICIA BULAT, PT
Title: CO-OWNER
Phone: (503) 308-2814

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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