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Southwest Physical Therapy Llc

Southwest Physical Therapy Llc is a health care provider in Coquille, OR. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 279 N Central St, Coquille, OR 97423-1241, US
Practice Location Phone541-396-3341
Practice Location Fax
Legal Business NameSOUTHWEST PHYSICAL THERAPY LLC
Other Organization NameSOUTHWEST PHYSICAL THERAPY& JOHN BREUER REHABILITATION SERVICES
Other Organization Name TypeAn Other Name
NPI ?1568685766
Entity TypeOrganization
Enumeration Date ? Apr 10, 2007
Last Update Date ? Sep 24, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Southwest Physical Therapy Llc

SpecialtySpecializationLicenseLicense State
Clinic/CenterRehabilitation

legacy-id-icon Legacy Provider IDs of Southwest Physical Therapy Llc

Provider IdIssuer StateIssuer TypeIssuer
207084OregonMedicaid

official-icon Authorized Official of Southwest Physical Therapy Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Southwest Physical Therapy Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Cory Dorland
Authorized Official Title/PositionBUSINESS MANAGER
Authorized Official Phone Number541-269-7212