Organization
SOUTHWEST PHYSICAL THERAPY LLC
Active
Other names
Southwest Physical Therapy& John Breuer Rehabilitation Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORY DORLAND (BUSINESS MANAGER)
(541) 269-7212
Entity
Organization
Contact information
Practice address
279 N CENTRAL ST, COQUILLE, OR 97423-1241
(541) 396-3341
Mailing address
279 N CENTRAL ST, COQUILLE, OR 97423-1241
(541) 396-3341
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207084
—
OR
Enumeration date
04/10/2007
Last updated
09/24/2007
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