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Organization
PACIFIC NORTHWEST PHYSICAL THERAPY
Active
Organization
PACIFIC NORTHWEST PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD KIME P.T. (OWNER)
(707) 464-9511
Entity
Organization
Contact information
Practice address
200 US HIGHWAY 101 N, CRESCENT CITY, CA 95531-2844
(707) 464-9511
Mailing address
200 US HIGHWAY 101 N, CRESCENT CITY, CA 95531-2844
(707) 464-9511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 23616
CA
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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