| Sports & Ortho Rehab | |
| 898 Sw 4th Ave, Ontario, OR 97914 | |
| (541) 881-7330 | |
| (541) 881-7334 | 
| Full Name | Sports & Ortho Rehab | 
|---|---|
| Type | Facility | 
| Speciality | Occupational Therapist | 
| Location | 898 Sw 4th Ave, Ontario, Oregon | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013181437 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225X00000X | Occupational Therapist | 239665 (Oregon) | Secondary | 
| 225X00000X | Occupational Therapist | OT767 (Idaho) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sports & Ortho Rehab 898 Sw 4th Ave, Ontario, OR 97914 Ph: (541) 881-7330 | Sports & Ortho Rehab 898 Sw 4th Ave, Ontario, OR 97914 Ph: (541) 881-7330 | 
| Nicole Barker, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 840 Sw 4th Ave Ste 103, Ontario, OR 97914 Phone: 541-881-7330 | |
| Mr. Kent A. Taucer, OTR/MPA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 898 Sw 4th Ave, Ontario, OR 97914 Phone: 541-881-7337 Fax: 541-881-7334 |