Organization Name: | LIFE FORCE PHYSICAL THERAPY |
NPI Number: | 1811392558 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMANDA FORCE (DOCTOR OF PHYSICAL THERAPY) |
Mailing Address: | 88267 Territorial Rd Ste 10a Veneta |
State: | OR US |
Postal Code: | 974879499 |
Phone Number: | 5419350761 |
Fax Number: | 5419350536 |
NPI Enumeration Date: | 10/23/2014 |
NPI Last Update Date: | 01/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 6122 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |