Organization
PHYSICAL THERAPY ASSOCIATES OF CAMAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE GUY SANDRY MPT, CSCS (PRESIDENT)
(360) 834-7760
Entity
Organization
Contact information
Practice address
414 NE 3RD AVE, CAMAS, WA 98607-2154
(360) 834-7760
(360) 834-2756
Mailing address
1918 SE 283RD AVE, CAMAS, WA 98607-9509
(360) 834-7760
(360) 834-2756
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
00008543
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261Q00000X
TAXONOMY
WA
05
—
7111628
—
WA
Enumeration date
10/28/2008
Last updated
11/11/2008
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