| Athletic Advantage Physical Therapy Llc | |
|
2412 E O Ave, La Grande, OR 97850-3853 | |
| (541) 519-0822 | |
| Not Available |
| Full Name | Athletic Advantage Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2412 E O Ave, La Grande, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922841196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Athletic Advantage Physical Therapy Llc 2412 E O Ave, La Grande, OR 97850-3853 Ph: () - | Athletic Advantage Physical Therapy Llc 2412 E O Ave, La Grande, OR 97850-3853 Ph: (541) 519-0822 |
Joanna Hallam, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2519 Cove Ave, La Grande, OR 97850 Phone: 541-962-0830 | |
James Arthur Gorham, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2519 Cove Ave, La Grande, OR 97850 Phone: 541-962-0830 Fax: 541-975-2720 | |
Julia Rae Richard, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 Sunset Dr, La Grande, OR 97850 Phone: 541-963-1437 | |
Mr. James Russell Hottal, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2519 Cove Ave, La Grande, OR 97850 Phone: 541-962-0830 | |
Mr. Benjamin Michael Bertrand, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 4th St, La Grande, OR 97850 Phone: 541-963-9340 Fax: 541-962-4562 | |
Jennifer Sloop Moore, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 610 Sunset Dr, La Grande, OR 97850 Phone: 541-963-1437 | |
Jefferson K Whinery, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 Sunset Dr, La Grande, OR 97850 Phone: 541-963-1437 |