Organization Name: | ACTIVE EDGE PHYSICAL THERAPY & SPORTS MEDICINE |
NPI Number: | 1174972053 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAN MORLAN (PHYSICAL THERAPIST) |
Mailing Address: | 2020 8th Ave Suite D West Linn |
State: | OR US |
Postal Code: | 970684657 |
Phone Number: | 5033875449 |
Fax Number: | |
NPI Enumeration Date: | 06/10/2016 |
NPI Last Update Date: | 06/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 61684 |
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 |