# SOUTHWEST PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** John Breuer Rehab Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306230917
- **Authorized official:** MR. CORY D DORLAND (BUSINESS MANAGER)
- **Authorized official phone:** (541) 269-7212

## Contact information

- **Practice address:** 1650 THOMPSON RD, COOS BAY, OR 97420-2170
- **Practice address phone:** (541) 269-7212
- **Practice address fax:** (541) 267-5260
- **Mailing address:** 1650 THOMPSON RD, COOS BAY, OR 97420-2170
- **Mailing address phone:** (541) 269-7212
- **Mailing address fax:** (541) 267-5260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | 336600 | OR | Yes |

## Other

- **Enumeration date:** 03/20/2015
- **Last updated:** 03/20/2015