Doctor Name: | JOLENE M PLATKO |
NPI Number: | 1033306782 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 5784 |
Business Practice Address: | 1315 Nw 4th St Suite B Redmond, OR - 977561328 |
Business Phone Number: | 5415042350 |
Business Fax Number: | 5415042354 |
Mailing Address: | 805 Sw Industrial Way, Suite 3 BEND |
State: | OR |
Postal Code: | 977021093 |
Phone Number: | 5415852529 |
Fax Number: | 5415852535 |
NPI Enumeration Date: | 09/26/2007 |
NPI Last Update Date: | 05/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5784 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |