Doctor Name: | MRS. MORAG HELEN, SHAW SAMPSON |
NPI Number: | 1356343263 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 2413 |
Business Practice Address: | 364 Se Wilson Ave Bend, OR - 977021711 |
Business Phone Number: | 5413882681 |
Business Fax Number: | 5413889236 |
Mailing Address: | 62593 Quail Ridge Rd, BEND |
State: | OR |
Postal Code: | 977019553 |
Phone Number: | 5413186355 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2413 |
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 |