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Organization

SOUTHWEST PHYSICAL THERAPY

Active
Other names
Gold Beach Physical Therapy & Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CORY DORLAND (BUSINESS MANAGER)
(541) 247-2254
Entity
Organization

Contact information

Practice address
29286 ELLENSBURG, GOLD BEACH, OR 97444
(541) 247-2254
Mailing address
PO BOX 1195, GOLD BEACH, OR 97444-1195
(541) 247-2254

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Enumeration date
04/11/2007
Last updated
09/24/2007
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