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Organization
SOUTHWEST PHYSICAL THERAPY LLC
Active
Organization
SOUTHWEST PHYSICAL THERAPY LLC
Active
Other names
John Breuer Rehab Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORY D DORLAND (BUSINESS MANAGER)
(541) 269-7212
Entity
Organization
Contact information
Practice address
1650 THOMPSON RD, COOS BAY, OR 97420-2170
(541) 269-7212
(541) 267-5260
Mailing address
1650 THOMPSON RD, COOS BAY, OR 97420-2170
(541) 269-7212
(541) 267-5260
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
336600
OR
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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