Provider First Line Business Practice Location Address:
2671 SW 4TH AVE
Provider Second Line Business Practice Location Address:
TREASURE VALLEY PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
ONTARIO
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97914-1833
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-889-2221
Provider Business Practice Location Address Fax Number:
541-889-2221
Provider Enumeration Date:
08/16/2005