Provider Demographics
NPI:1295892800
Name:ALTERNATIVE PHYSICAL THERAPY
Entity type:Organization
Organization Name:ALTERNATIVE PHYSICAL THERAPY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LENA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ARMAS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:503-829-8221
Mailing Address - Street 1:PO BOX 1139
Mailing Address - Street 2:
Mailing Address - City:MOLALLA
Mailing Address - State:OR
Mailing Address - Zip Code:97038-9206
Mailing Address - Country:US
Mailing Address - Phone:503-829-8221
Mailing Address - Fax:503-829-8726
Practice Address - Street 1:111 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:MOLALLA
Practice Address - State:OR
Practice Address - Zip Code:97038-9206
Practice Address - Country:US
Practice Address - Phone:503-829-8221
Practice Address - Fax:503-829-8726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2070225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty