National Provider Identifier Database

SOUTHWEST PHYSICAL THERAPY LLC
Rehabilitation


Contact Information

SOUTHWEST PHYSICAL THERAPY LLC
1650 THOMPSON RD
COOS BAY, OR97420-2170
Phone: 541-269-7212
Fax: 541-267-5260
Website:
Specialty Taxonomy Code
* Rehabilitation 261QR0400X

* Indicates primary specialty

NPI Profile & details for SOUTHWEST PHYSICAL THERAPY LLC

NPI Number 1851407464
Legal business name
LBN
SOUTHWEST PHYSICAL THERAPY LLC
Authorized official JOHN BREUER - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 08/23/2006
Last updated 09/24/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • OR Medicaid: 207027

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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