Daniel Raymond Renelt PHYSICAL THERAPIST

NPI 1013999143 - Physical Therapist - 225100000X

NPI Details
NPI 1013999143
Gender Male
Enumeration Date 11/15/2005
Last Updated 11/12/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
4415 SW VERMONT ST
PORTLAND OR, 97219-1020, US
Phone (503) 244-0570
Fax (503) 244-0572
Business Location
16083 SW UPPER BOONES FERRY RD
STE 300
TIGARD OR, 97224-7736, US
Phone (800) 219-8835
Fax (503) 639-9699
Toxanomy
Taxonomy Code 225100000X
License State Oregon
License Number 4783
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According to our database, Daniel Raymond Renelt PHYSICAL THERAPIST NPI is 1013999143, taxonomy code is 225100000X and license number is 4783, license state is located at Oregon. Daniel Raymond Renelt PHYSICAL THERAPIST physically located at 4415 Sw Vermont St, Portland OR, 97219-1020. NPI Number Daniel Raymond Renelt PHYSICAL THERAPIST has the Individual type.

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1013999143 NPI number is provided on an as is basis without warranty of any kind. 1013999143 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel Raymond Renelt PHYSICAL THERAPIST are for informational purposes only.