| Organization Name: | ACTION REHABILITATION & SPORTS MEDICINE, P.C. |
| NPI Number: | 1326237769 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONALD LYNN LOPEZ (OWNER) |
| Mailing Address: | 1619 Nw Hawthorne Ave Suite 109 Grants Pass |
| State: | OR US |
| Postal Code: | 975266008 |
| Phone Number: | 5414721799 |
| Fax Number: | 5414721699 |
| NPI Enumeration Date: | 10/22/2007 |
| NPI Last Update Date: | 07/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 4012 |
| 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 |