Stargait Medford Physical Therapy, LLC

NPI #1841824471 in Vancouver, Washington

Provider Information

NPI Number: 1841824471
Entity Type: Organization
Organization Name: Stargait Medford Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Feb 21, 2020
Last Updated: Feb 21, 2020

Practice Location

Address: 16420 SE MCGILLIVRAY BLVD STE 103-355
City: Vancouver
State: Washington
ZIP Code: 98683-3461
Phone: (541) 292-4244

Authorized Official

Name: MRS. DENISE A WENTZEL, PT
Title: OWNER
Phone: (541) 292-4244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse - Home Health — Home Health	163WH0200X
Registered Nurse - Pediatrics — Pediatrics	163WP0200X
Occupational Therapy Assistant - Feeding, Eating & Swallowing — Feeding, Eating & Swallowing	224ZF0002X
Physical Therapist - Pediatrics — Pediatrics	2251P0200X
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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