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Organization
CAPITOL PHYSICAL THERAPY, INC
Active
Organization
CAPITOL PHYSICAL THERAPY, INC
Active
Other names
Capitol Physical and Hand Therapy, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J WILLIAMS P.T (PRESIDENT)
(503) 400-6110
Entity
Organization
Contact information
Practice address
9605 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 990-8627
(503) 990-8630
Mailing address
495 STATE ST FL 6, SALEM, OR 97301-3757
(503) 400-6110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
2251H1200X
Hand Physical Therapist
—
NULL
2251H1200X
Hand Physical Therapist
—
—
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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