-- KELLIE BYWATER --
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1538561600- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3900 PACIFIC AVE, FOREST GROVE, OR, 971162226
- Phone
- (503) 359-0049
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: OR #9062
All Addresses
MAILING
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR, 970709697