NPI 1063548329

Willamette Spine Center Physical Therapy & Rehabilitation, LLC

Organisation Physical Therapist Salem, OR

Practice location

Address: 2480 Liberty St NE STE 140, Salem, OR 97303-6781
Phone: (503) 763-3525
Fax: (503) 763-3526

Authorised official

Name: Michael Charles Gibbons
Title: Owner and Physical Therapist
Phone: (503) 763-3525

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Registry record

NPI: 1063548329
Entity type: Organization
NPI issued: 23 Feb 2007
Record last updated: 31 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.