Promotion Advanced Functional Rehab LLC

NPI #1710932710 in Stayton, Oregon

Provider Information

NPI Number: 1710932710
Entity Type: Organization
Organization Name: Promotion Advanced Functional Rehab LLC
Primary Specialty: Physical Therapy Assistant
Enumeration Date: May 24, 2006
Last Updated: Jun 16, 2018

Practice Location

Address: 601 N 1ST AVE
City: Stayton
State: Oregon
ZIP Code: 97383
Phone: (503) 769-3123

Authorized Official

Name: CARMEN L ANGLIN
Title: MANAGER
Phone: (503) 769-3123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary
Physical Therapist - Orthopedic — Orthopedic	2251X0800X

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