Organization
PROACTIVE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF BATTLE GROUND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY DEAN KROUT (OWNER)
(503) 489-1174
Entity
Organization
Contact information
Practice address
1902 SW 9TH AVE, BATTLE GROUND, WA 98604-3286
(503) 489-1174
(503) 489-1650
Mailing address
1480 NE VILLAGE ST, FAIRVIEW, OR 97024-3827
(503) 489-1174
(503) 489-1650
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
WA
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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