Longview Physical and Sports Therapy Services Ps

NPI #1184835100 in Longview, Washington

Provider Information

NPI Number: 1184835100
Entity Type: Organization
Organization Name: Longview Physical and Sports Therapy Services Ps
Primary Specialty: Physical Therapist
Enumeration Date: May 24, 2007
Last Updated: Jul 10, 2007

Practice Location

Address: 625 9TH AVENUE
Address 2: SUITE 220
City: Longview
State: Washington
ZIP Code: 98632
Phone: (360) 578-1188

Authorized Official

Name: BRUCE E PETERSON, PT
Title: OWNER
Phone: (360) 578-1188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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