Healthcare Provider Details

I. General information

NPI: 1508057654
Provider Name (Legal Business Name): COMPREHENSIVE PHYSICAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 02/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 CHARNELTON ST.
EUGENE OR
97401-2626
US

IV. Provider business mailing address

444 CARNELTON ST.
EUGENE OR
97401-2626
US

V. Phone/Fax

Practice location:
  • Phone: 541-344-6446
  • Fax: 541-344-6336
Mailing address:
  • Phone: 541-344-6446
  • Fax: 541-344-6336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. LINDA R ZANG
Title or Position: BUSINESS OWNER
Credential: PT
Phone: 541-344-6446