Provider First Line Business Practice Location Address:
691 MURPHY RD
Provider Second Line Business Practice Location Address:
SUITE 126 TAI MEDFORD PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
MEDFORD
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97504-4350
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-779-1041
Provider Business Practice Location Address Fax Number:
541-779-8704
Provider Enumeration Date:
01/23/2006