Pt Northwest of Longview INC

NPI #1134284060 in Castle Rock, Washington

Provider Information

NPI Number
1134284060
Entity Type
Organization
Organization Name
Pt Northwest of Longview INC
Primary Specialty
Physical Therapist
Enumeration Date
Dec 22, 2006
Last Updated
Dec 26, 2007

Practice Location

Address
20 COWLITZ
ZIP Code
98611
Phone
(360) 274-4550

Authorized Official

Name
MR. DANIEL LEE HUGHES, DPT
Title
CEO
Phone
(360) 423-9535

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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