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Organization

SOUTHWEST PHYSICAL THERAPY

Active
Other names
Southwests 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
913 11TH ST SE, SUITE 1, BANDON, OR 97411-9168
(541) 347-4314
Mailing address
913 11TH ST SE, SUITE 1, BANDON, OR 97411-9168
(541) 347-4314

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
052105
OR
Enumeration date
04/10/2007
Last updated
09/24/2007
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