Therapeutic Associates INC

NPI #1740266105 in Gresham, Oregon

Provider Information

NPI Number: 1740266105
Entity Type: Organization
Organization Name: Therapeutic Associates INC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 19, 2005
Last Updated: Oct 23, 2015

Practice Location

Address: 283 NW MILLER AVE
City: Gresham
State: Oregon
ZIP Code: 97030-7260
Phone: (503) 666-7644

Authorized Official

Name: MR. TODD ROBERT GIFFORD, PT
Title: INFORMATION SYSTEMS DIRECTOR
Phone: (503) 553-6156

Specialties & Taxonomy Codes

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

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