Organization
LONGVIEW PHYSICAL AND SPORTS THERAPY SERVICES PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE E PETERSON PT (OWNER)
(360) 578-1188
Entity
Organization
Contact information
Practice address
625 9TH AVENUE, SUITE 220, LONGVIEW, WA 98632
(360) 578-1188
(360) 578-6251
Mailing address
625 9TH AVENUE, SUITE 220, LONGVIEW, WA 98632
(360) 578-1188
(360) 578-6251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WA
Other
Enumeration date
05/24/2007
Last updated
07/10/2007
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