NPI 1124164678

Mirian W Groenendaal, PT

Practitioner Physical Therapist Coos Bay, OR

Practice location

Address: 1957 Thompson Rd., Coos Bay, OR 97420-2031
Phone: (541) 266-7050
Fax: (541) 266-0180
Mailing address: 1957 Thompson Rd, Coos Bay, OR 97420-2031

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 1813 (OR)

Other Physical Therapist providers in Oregon →

Registry record

NPI: 1124164678
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jan 2007
Record last updated: 18 May 2012

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.