Physical Therapy & Rehab LLC

NPI #1437910049 in Vancouver, Washington

Provider Information

NPI Number: 1437910049
Entity Type: Organization
Organization Name: Physical Therapy & Rehab LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 22, 2024
Last Updated: Nov 28, 2025

Practice Location

Address: 109 SE 101ST AVE
City: Vancouver
State: Washington
ZIP Code: 98664-3907
Phone: (503) 208-4130

Authorized Official

Name: DAVID PAVLOVICH VERGULYANETS, DPT
Title: MEMBER
Phone: (503) 208-4130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Physical Therapist	225100000X	Primary

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