| Bounce Back Therapy, Llc | |
|
11351 Pioneer Rd Se Lyons OR 97358-9759 | |
| (503) 400-4485 | |
| Not Available |
| Full Name | Bounce Back Therapy, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11351 Pioneer Rd Se, Lyons, Oregon |
| Authorized Official Name and Position | Cynthia Sue Scott (MA) |
| Authorized Official Contact | 5034004485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bounce Back Therapy, Llc 11351 Pioneer Rd Se Lyons OR 97358-9759 Ph: (503) 400-4485 | Bounce Back Therapy, Llc 11351 Pioneer Rd Se Lyons OR 97358-9759 Ph: (503) 400-4485 |
| NPI Number | 1417548736 |
|---|---|
| Provider Enumeration Date | 01/29/2021 |
| Last Update Date | 07/26/2023 |
| Certification Date | 07/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417548736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |