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Organization
SOUTHWEST PHYSICAL THERAPY LLC
Active
Organization
SOUTHWEST PHYSICAL THERAPY LLC
Active
Other names
John Breuer Rehab Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BREUER PT (DIRECTOR)
(541) 269-7212
Entity
Organization
Contact information
Practice address
1650 THOMPSON RD, COOS BAY, OR 97420-2170
(541) 269-7212
(541) 267-5260
Mailing address
1650 THOMPSON RD, COOS BAY, OR 97420-2170
(541) 269-7212
(541) 267-5260
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207027
—
OR
Enumeration date
08/23/2006
Last updated
09/24/2007
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