Provider First Line Business Practice Location Address:
911 COUNTRY CLUB #150
Provider Second Line Business Practice Location Address:
OREGON SPINE PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
EUGENE
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-683-5139
Provider Business Practice Location Address Fax Number:
541-683-5783
Provider Enumeration Date:
02/27/2006