NPI 1407053796

Martin Edward Sudar, LPTA

Practitioner Physical Therapy Assistant Lake Oswego, OR

Practice location

Address: 3814 Botticelli St, Lake Oswego, OR 97035-1303
Phone: (503) 699-8128

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 7928 (OR)

Other Physical Therapy Assistant providers in Oregon →

Registry record

NPI: 1407053796
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2007
Record last updated: 8 Jul 2007

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.