Organization Name: | LAURELHURST PHYSICAL THERAPY CLINIC |
NPI Number: | 1033252234 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUZANNE M. TREBNICK (CO-OWNER) |
Mailing Address: | 9828 E Burnside St Suite 250 Portland |
State: | OR US |
Postal Code: | 972162354 |
Phone Number: | 5032543424 |
Fax Number: | 5032543635 |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 05/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |