Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Nov 7, 2022
License(s)
CP037193T (LA), CP045072T (OR), CP042633T (AZ), CP053527T (TN), 17102 (TN)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1200 CORPORATE DR STE 400 | Hoover, AL 35242-5424 | 423-238-7217 |
| LOCATION | 3007 NE WEST DEVILS LAKE RD | Lincoln City, OR 97367-5131 | 541-994-6252 |
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