Dalton J Urrutia, PT | |
1399 Monmouth St, Independence, OR 97351-1126 | |
(562) 507-1140 | |
Not Available |
Full Name | Dalton J Urrutia |
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Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 1399 Monmouth St, Independence, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124743059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 62867 (Oregon) | Primary |
Provider Name | Therapeutic Associates Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972589364 PECOS PAC ID: 0042116279 Enrollment ID: O20040205000432 |
Mailing Address | Practice Location Address |
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Dalton J Urrutia, PT 11918 Se Division St Ste 2121, Portland, OR 97266-1037 Ph: (562) 507-1140 | Dalton J Urrutia, PT 1399 Monmouth St, Independence, OR 97351-1126 Ph: (562) 507-1140 |
Grapplers Performance Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1369 Monmouth St, Independence, OR 97351 Phone: 562-507-1140 | |
David Patrick Mcdarby, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1525 Monmouth St, Independence, OR 97351 Phone: 503-838-0001 Fax: 503-838-7826 | |
Independence Health & Rehabilitation Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1525 Monmouth St, Independence, OR 97351 Phone: 503-838-0001 |