| Organization Name: | TUALATIN PHYSICAL THERAPY & SPORTS REHAB INC |
| NPI Number: | 1407037146 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRYAN J CASPER (PRESIDENT) |
| Mailing Address: | 19767 Sw 72nd Ave Suite 102 Tualatin |
| State: | OR US |
| Postal Code: | 970628354 |
| Phone Number: | 5038852199 |
| Fax Number: | 5038852129 |
| NPI Enumeration Date: | 11/23/2007 |
| NPI Last Update Date: | 04/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1583 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |