CHILDRENS INTENSIVE THERAPY NORTHWEST NPI 1477886232

NPI Details

CHILDRENS INTENSIVE THERAPY NORTHWEST is a pediatrics physical therapist in Portland, OR. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. CHILDRENS INTENSIVE THERAPY NORTHWEST NPI is 1477886232. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7203 SE RAYMOND ST
PORTLAND, OR
ZIP 97206-323
Phone: (503) 895-1320
Fax: (503) 296-2319

The provider's authorized official is Darren David Brault .
The authorized official title is Owner and has the following contact phone number (971) 570-5043.

The enumeration date for this NPI number is 9/11/2009 and was last updated on 7/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: