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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency |
| NPI Number | 1568685766 |
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| LBN Legal business name | SOUTHWEST PHYSICAL THERAPY LLC | ||||
| Authorized official | CORY DORLAND - (BUSINESS MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/10/2007 | ||||
| Last updated | 09/24/2007 - About 19 years ago | ||||
| Identifiers |
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SOUTHWEST PHYSICAL THERAPY LLC