Organization · Type 2 NPI

Holographic Body LLC

Physical Therapy Clinic/Center · Portland, OR

NPI number 1710752191 Active

Practice location

3014 NE Killingsworth
Portland, OR 97211

Mailing address

3834 NE Simpson St
Portland, OR 97211-7961

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Clinic/Center Primary 261QP2000XNone listed

Physical Therapy Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care p…

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About NPI 1710752191

Holographic Body LLC's National Provider Identifier is 1710752191, issued on Nov 16, 2023. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in Portland, OR. The record was last updated on Nov 16, 2023.