KELLIE BYWATER

Physical Therapy Assistant

Active Individual
NPI: 1538561600

Practice Address

3900 PACIFIC AVE
Forest Grove, OR 97116

Phone: (503) 359-0049

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes 9062 (OR)

Frequently Asked Questions

NPI 1538561600 is the National Provider Identifier for KELLIE BYWATER, a Physical Therapy Assistant provider located in Forest Grove, OR. This NPI was enumerated on September 20, 2014.
KELLIE BYWATER practices at 3900 PACIFIC AVE, Forest Grove, OR 97116.

Quick Facts

NPI
1538561600
Type
Individual
Enumerated
Sep 20, 2014
Last Updated
Sep 20, 2014

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