Heather Casebolt MSPT

NPI 1376570697 - Physical Therapist - 225100000X

NPI Details
NPI 1376570697
Gender Female
Enumeration Date 06/26/2006
Last Updated 01/13/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
15640 NW LAIDLAW RD
SUITE 202
PORTLAND OR, 97229-3828, US
Phone (503) 764-0170
Fax
Business Location
15640 NW LAIDLAW RD
SUITE 202
PORTLAND OR, 97229-3828, US
Phone (503) 764-0170
Fax
Toxanomy
Taxonomy Code 225100000X
License State Oregon
License Number 4267
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According to our database, Ms. Heather Casebolt MSPT NPI is 1376570697, taxonomy code is 225100000X and license number is 4267, license state is located at Oregon. Heather Casebolt MSPT physically located at 15640 Nw Laidlaw Rd, Portland OR, 97229-3828. NPI Number Heather Casebolt MSPT has the Individual type.

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1376570697 NPI number is provided on an as is basis without warranty of any kind. 1376570697 is maintained by the National Plan & Provider Enumeration System. The contents of Heather Casebolt MSPT are for informational purposes only.