Pediatric Therapyworks in Gresham - Pediatrics
Pediatric Therapyworks - NPI 1306050646
Pediatric Therapyworks is a Pediatrics in Gresham, Oregon. Pediatric Therapyworks practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Pediatric Therapyworks is 1306050646. The last update date is 2020-08-22.
Pediatric Therapyworks's current location address is 30714 Se Dodge Park Blvd, Gresham, Oregon. You can contact this provider via phone number 5038192707. The mailing address for Pediatric Therapyworks is 30714 Se Dodge Park Blvd, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Therapyworks |
|---|---|
| Address | 30714 Se Dodge Park Blvd, Gresham, Oregon |
| Phone Number | 5038192707 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CORPORATE |
|---|---|
| Authorized Official Name | Culter Bobbi |
| Credentials | P.T. |
| Telephone Number | 5038192707 |
NPI Number Detail
| NPI Number | 1306050646 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 30714 Se Dodge Park Blvd |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970808961 |
| Phone Number | 5038192707 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 1893 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Post Comment/ Review Below
What is the unique identifier code issued to Pediatric Therapyworks by the Centers for Medicare & Medicaid Services (CMS)?
The Pediatric Therapyworks has been assigned the NPI (National Provider Identifier) 1306050646. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Pediatric Therapyworks is geographically located?
The Pediatric Therapyworks is physically situated at the following location: 30714 Se Dodge Park Blvd, Gresham, OR, 970808961.
What is Pediatric Therapyworks's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pediatric Therapyworks is Pediatrics, and the taxonomy code that classifies this field of practice is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306050646 to Pediatric Therapyworks?
The Centers for Medicare & Medicaid Services originally issued the 1306050646 to Pediatric Therapyworks on 2007-05-09.
When was the Pediatric Therapyworks's information last updated?
The Pediatric Therapyworks's information was last updated on 2020-08-22.
NPI Number: 1942206313
Address: 1250 N Wenatchee Ave Suite H Pmb 352, Wenatchee, WA