# CAPITOL PHYSICAL THERAPY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Capitol Physical and Hand Therapy, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508111931
- **Authorized official:** THOMAS J WILLIAMS P.T (PRESIDENT)
- **Authorized official phone:** (503) 400-6110

## Contact information

- **Practice address:** 9605 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
- **Practice address phone:** (503) 990-8627
- **Practice address fax:** (503) 990-8630
- **Mailing address:** 495 STATE ST FL 6, SALEM, OR 97301-3757
- **Mailing address phone:** (503) 400-6110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 2251H1200X | Hand Physical Therapist | — | NULL | — |
| 2251H1200X | Hand Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 07/23/2012
- **Last updated:** 07/23/2012