Organization
PACIFIC NORTHWEST PHYSICAL THERAPY
Active
Organization
PACIFIC NORTHWEST PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY KIME PT,OCS,CMPT (OWNER)
(707) 464-9511
Entity
Organization
Contact information
Practice address
225 I ST, CRESCENT CITY, CA 95531-4305
(707) 464-9511
(707) 464-9513
Mailing address
225 I ST, CRESCENT CITY, CA 95531-4305
(707) 464-9511
(707) 464-9513
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
23616
CA
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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