Fountain Of Youth Physical Therapy Llc

  • 1801115183 NPI Number
  • |
  • Actived: 13 years ago
  • |
Fountain Of Youth Physical Therapy Llc is a health care provider based in Tigard, OR. The NPI Number is 1801115183 and it has been active since 13 years ago. The specialty is Physical Therapist, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Physical Therapist services, Fountain Of Youth Physical Therapy Llc is an excellent option. We are here to help you get the care you need.

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Overview of Fountain Of Youth Physical Therapy Llc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 05/25/2010
  • Last updated: 05/25/2010

Primary Scrop of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 4954
  • License State: OR

Provider Mailing Address

  • Address: 664 Sw Rustica Ter
    Portland, OR 97225
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 9860 Sw Hall Blvd Ste A3
    Tigard, OR 97223
  • Phone: 503-902-2123
  • Fax:

Authorized Official

  • Name: Laura L Waliczek PT, DPT
  • Position/Title: Physical Therapist
  • Telephone Number: 503-327-4195

Scope of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 4954
  • License State: OR
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Fountain Of Youth Physical Therapy Llc?
  • A: The npi number for Fountain Of Youth Physical Therapy Llc is 1801115183.
  • Q: What are Fountain Of Youth Physical Therapy Llc's specialties?
  • A: Fountain Of Youth Physical Therapy Llc's specialties are Physical Therapist and different specialities.
  • Q: Where is Fountain Of Youth Physical Therapy Llc business practice location?
  • A: Fountain Of Youth Physical Therapy Llc business practice location is 9860 Sw Hall Blvd Ste A3, Tigard, OR 97223.
  • Q: How to contact Fountain Of Youth Physical Therapy Llc?
  • A: You can contact Fountain Of Youth Physical Therapy Llc via 503-902-2123.
  • Q: What is the authorized official for Fountain Of Youth Physical Therapy Llc?
  • A: The authorized office name is Laura L Waliczek PT, DPT with position/title is Physical Therapist and you can reach the authorized official via phone number 5033274195.
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