# SOUTHWEST PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southwest Physical Therapy& John Breuer Rehabilitation Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568685766
- **Authorized official:** MR. CORY DORLAND (BUSINESS MANAGER)
- **Authorized official phone:** (541) 269-7212

## Contact information

- **Practice address:** 279 N CENTRAL ST, COQUILLE, OR 97423-1241
- **Practice address phone:** (541) 396-3341
- **Mailing address:** 279 N CENTRAL ST, COQUILLE, OR 97423-1241
- **Mailing address phone:** (541) 396-3341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 09/24/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 207084 | — | OR |