Provider Demographics
NPI:1790383982
Name:FLUID MOVEMENT LLC
Entity Type:Organization
Organization Name:FLUID MOVEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:GIRARD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:571-247-6131
Mailing Address - Street 1:2565 BOWMONT DR
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-1407
Mailing Address - Country:US
Mailing Address - Phone:571-247-6131
Mailing Address - Fax:
Practice Address - Street 1:2565 BOWMONT DR
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-1407
Practice Address - Country:US
Practice Address - Phone:571-247-6131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-11
Last Update Date:2020-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy