Bounce Back Therapy, Llc | |
11351 Pioneer Rd Se Lyons OR 97358-9759 | |
(503) 400-4485 | |
Not Available |
Full Name | Bounce Back Therapy, Llc |
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Speciality | Counselor - Professional |
Location | 11351 Pioneer Rd Se, Lyons, Oregon |
Authorized Official Name and Position | Cynthia Sue Scott (MA) |
Authorized Official Contact | 5034004485 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bounce Back Therapy, Llc 11351 Pioneer Rd Se Lyons OR 97358-9759 Ph: (503) 400-4485 | Bounce Back Therapy, Llc 11351 Pioneer Rd Se Lyons OR 97358-9759 Ph: (503) 400-4485 |
NPI Number | 1417548736 |
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Provider Enumeration Date | 01/29/2021 |
Last Update Date | 07/26/2023 |
Certification Date | 07/26/2023 |
Identifier | Type | State | Issuer |
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1417548736 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |