Active Life Physical Therapy Center INC

NPI #1962565291 in Brookings, Oregon

Provider Information

NPI Number
1962565291
Entity Type
Organization
Organization Name
Active Life Physical Therapy Center INC
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Dec 18, 2006
Last Updated
Oct 22, 2007

Practice Location

Address
616 HEMLOCK STREET
Address 2
A
State
Oregon
ZIP Code
97415-9412
Phone
(541) 412-1155

Authorized Official

Name
MR. PATRICK W DODGEN, PT
Title
PHYSICAL THERAPIST
Phone
(541) 412-3717

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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