Provider Demographics
NPI:1629333976
Name:MCILMOIL, ROBERT CALEB (DPT)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CALEB
Last Name:MCILMOIL
Suffix:
Gender:M
Credentials:DPT
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Mailing Address - Street 1:900 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:LA GRANDE
Mailing Address - State:OR
Mailing Address - Zip Code:97850-1387
Mailing Address - Country:US
Mailing Address - Phone:541-963-1437
Mailing Address - Fax:541-963-1890
Practice Address - Street 1:570 8TH STREET
Practice Address - Street 2:
Practice Address - City:ELIGIN
Practice Address - State:OR
Practice Address - Zip Code:97850
Practice Address - Country:US
Practice Address - Phone:541-437-2273
Practice Address - Fax:541-437-8585
Is Sole Proprietor?:No
Enumeration Date:2012-07-11
Last Update Date:2016-08-01
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist