IndividualActive
Keenan Phalan
NPI 1710651153 · Physical Rehabilitation Occupational Therapist · Bend, OR
Provider details
- NPI number
- 1710651153
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
900 Ne 27th St
Bend, OR 97701-9548
Phone: (360) 622-6488
Approximate (ZIP-level) locationGet directions
Mailing address
61813 Se Whitefish Ct
Bend, OR 97702-8846
Registry dates
- Enumerated
- 2021-08-08
- Last updated
- 2021-08-08
- Certified
- 2021-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.