Peacehealth

NPI #1275501538 in Longview, Washington

Provider Information

NPI Number: 1275501538
Entity Type: Organization
Organization Name: Peacehealth
Primary Specialty: Physical Therapist
Enumeration Date: Mar 10, 2006
Last Updated: Jul 29, 2011

Practice Location

Address: 852 COMMERCE AVE
City: Longview
State: Washington
ZIP Code: 98632-2406
Phone: (360) 501-3750

Authorized Official

Name: MR. THOMAS HAYWOOD
Title: REGIONAL VP/CFO
Phone: (360) 414-5797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Medicine & Rehabilitation	208100000X
Chiropractor	111N00000X
Occupational Therapist	225X00000X
Physical Therapy Assistant	225200000X
Occupational Therapy Assistant	224Z00000X
Physical Therapist	225100000X	Primary

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