Proactive Orthopedic and Sports Physical Therapy of East Vancouver LLC
NPI #1053326561 in Vancouver, Washington
Provider Information
- NPI Number
- 1053326561
- Entity Type
- Organization
- Organization Name
- Proactive Orthopedic and Sports Physical Therapy of East Vancouver LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jul 31, 2006
- Last Updated
- Jul 25, 2008
Practice Location
- Address
- 6700 NE 162ND AVE
- Address 2
- SUITE 411
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98682-3858
- Phone
- (360) 567-0633
Authorized Official
- Name
- LARRY DEAN KROUT
- Title
- MANAGING MEMBER
- Phone
- (503) 740-8847
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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