Provider Demographics
NPI:1326291519
Name:EUGENE PHYSICAL THERAPY AT OAK STREET
Entity Type:Organization
Organization Name:EUGENE PHYSICAL THERAPY AT OAK STREET
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:GIULIETTI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:541-345-2064
Mailing Address - Street 1:54 OAKWAY CENTER
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-5645
Mailing Address - Country:US
Mailing Address - Phone:541-687-7005
Mailing Address - Fax:541-687-7006
Practice Address - Street 1:1426 OAK ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4043
Practice Address - Country:US
Practice Address - Phone:541-345-2064
Practice Address - Fax:541-345-2074
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EUGENE PHYSICAL THERAPY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-31
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty