Pt Northwest of Longview, INC
NPI #1083327860 in Centralia, Washington
Provider Information
- NPI Number
- 1083327860
- Entity Type
- Organization
- Organization Name
- Pt Northwest of Longview, INC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Dec 27, 2022
- Last Updated
- Dec 27, 2022
Practice Location
- Address
- 1714 S GOLD ST
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-8951
- Phone
- (360) 360-5532
Authorized Official
- Name
- THOMAS BRYAN BARGANIER
- Title
- CFO
- Phone
- (205) 536-7602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Physical Therapist |
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