TWO RIVERS PHYSICAL THERAPY, LLC
Physical Therapy at Lombard St, Portland, OR

License number
Oregon 38130399
Category
Ambulatory Health
Type
Physical Therapy
Owner
Name: C. THOMAS PROVENZANO MPT
Title: OWNER
Phone: (503) 445-7878
Address
Address
7522 N Lombard St STE A, Portland, OR 97203
National Provider ID: 1255473047
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TWO RIVERS PHYSICAL THERAPY, LLC

Portland, OR

Doing business as:
Two Rivers Physical Therapy
Registration:
Sep 1, 2006
Phone:
(503) 445-7878 (Phone)
Addresses:
7522 N Lombard STE A, Portland, OR 97203 (Physical)
7522 N Lombard St, Portland, OR 97203
State ID:
38130399
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Agent:
C Thomasprovenzano,7522 N Lombard STE A, Portland, OR 97203 (Physical)
Categories:
Physical Therapists

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