New Leaf Physical And Massage Therapy, Llc

NPI 1003135658 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1003135658
Enumeration Date 05/21/2010
Last Updated 06/16/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MARY MARY
Position PRESIDENT
Phone (503) 318-0654
Fax
Practice Location
4050 NE BROADWAY ST
PORTLAND OR, 97232-1828, US
Phone (503) 318-0654
Fax
Business Location
2734 SE 47TH AVE
PORTLAND OR, 97206-1547, US
Phone (503) 657-8663
Fax (503) 723-3180
Toxanomy
Taxonomy Code 208100000X
License State
License Number
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According to our database, New Leaf Physical And Massage Therapy, Llc NPI is 1003135658, taxonomy code is 208100000X New Leaf Physical And Massage Therapy, Llc physically located at 4050 Ne Broadway St, Portland OR, 97232-1828. NPI Number 1033115704 has the healthcare provider type.

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1003135658 NPI number is provided on an as is basis without warranty of any kind. 1003135658 is maintained by the National Plan & Provider Enumeration System. The contents of New Leaf Physical And Massage Therapy, Llc are for informational purposes only.