| Aloha Physical Therapy Clinic | |
|
17610 Sw Alexander St, Aloha, OR 97006-4411 | |
| (503) 642-4555 | |
| (503) 591-9877 |
| Full Name | Aloha Physical Therapy Clinic |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 17610 Sw Alexander St, Aloha, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104968320 | NPI | - | NPPES |
| 262956 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Aloha Physical Therapy Clinic 17610 Sw Alexander St, Aloha, OR 97006-4411 Ph: (503) 642-4555 | Aloha Physical Therapy Clinic 17610 Sw Alexander St, Aloha, OR 97006-4411 Ph: (503) 642-4555 |
Mr. Gerrit Charles Kockx, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1885 Nw 185th Ave Ste 102, Aloha, OR 97006 Phone: 503-216-9760 | |
Kurt A. Wessenberg, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1885 Nw 185th Ave, Aloha, OR 97006 Phone: 503-216-9760 Fax: 503-216-9755 | |
Mr. Randy D Cadman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17610 Sw Alexander St, Aloha, OR 97003 Phone: 503-642-4555 Fax: 503-591-9877 |