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Contact Information

ACTIVE RECOVERY AND MANUAL PHYSICAL THERAPY, LLC
12014 SE SCHILLER ST
PORTLAND, OR97266-3258
 Phone: 541-337-0171
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for ACTIVE RECOVERY AND MANUAL PHYSICAL THERAPY, LLC

NPI Number 1669887691
LBN Legal business name ACTIVE RECOVERY AND MANUAL PHYSICAL THERAPY, LLC
Authorized official PAULIE HEISEL - (OWNER, PTA)
Entity Organization
Organization subpart 1 No
Enumeration date 06/28/2014
Last updated 06/28/2014 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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