Broadway Physical Therapy And Sports Rehabilitation, Llc

NPI 1326185950 - Specialist - 174400000X

NPI Details
NPI 1326185950
Enumeration Date 01/31/2007
Last Updated 11/10/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ELLEN ELLEN
Position PHYSICAL THERAPIST AND OWNER
Phone (503) 287-6636
Fax (503) 287-4044
Practice Location
3016 NE BROADWAY ST
PORTLAND OR, 97232-1811, US
Phone (503) 287-6636
Fax (503) 287-4044
Business Location
3016 NE BROADWAY
PORTLAND OR, 97232, US
Phone (503) 287-6636
Fax (503) 287-4044
Toxanomy
Taxonomy Code 174400000X
License State Oregon
License Number 2270
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According to our database, Broadway Physical Therapy And Sports Rehabilitation, Llc NPI is 1326185950, taxonomy code is 174400000X and license number is 2270, license state is located at Oregon. Broadway Physical Therapy And Sports Rehabilitation, Llc physically located at 3016 Ne Broadway St, Portland OR, 97232-1811. NPI Number 1033115704 has the healthcare provider type.

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1326185950 NPI number is provided on an as is basis without warranty of any kind. 1326185950 is maintained by the National Plan & Provider Enumeration System. The contents of Broadway Physical Therapy And Sports Rehabilitation, Llc are for informational purposes only.