Organization
SOUTHWEST PHYSICAL THERAPY LLC
Active
Other names
John Breuer Rehab Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BREUER PT (DIRECTOR)
(541) 269-7212
Entity
Organization
Contact information
Practice address
1650 THOMPSON RD, COOS BAY, OR 97420-2170
(541) 269-7212
(541) 267-5260
Mailing address
1650 THOMPSON RD, COOS BAY, OR 97420-2170
(541) 269-7212
(541) 267-5260
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207027
—
OR
Enumeration date
08/23/2006
Last updated
09/24/2007
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