Organization
SOUTHWEST PHYSICAL THERAPY
Active
Other names
Brookings Harbor Physical Therapy & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORY DORLAND (BUSINESS MANAGER)
(541) 269-7212
Entity
Organization
Contact information
Practice address
614 SPRUCE ST, BROOKINGS, OR 97415
(541) 469-1062
Mailing address
PO BOX 1211, BROOKINGS, OR 97415-0114
(541) 469-1062
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047147
—
OR
Enumeration date
04/11/2007
Last updated
09/24/2007
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