Pt Northwest of Longview INC

NPI #1205996717 in Longview, Washington

Provider Information

NPI Number: 1205996717
Entity Type: Organization
Organization Name: Pt Northwest of Longview INC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 12, 2006
Last Updated: Dec 26, 2007

Practice Location

Address: 1560 3RD AVE
City: Longview
State: Washington
ZIP Code: 98632-3229
Phone: (360) 423-9535

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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