Proactive Orthopedic And Sports Physical Therapy Of East Vancouver Llc

NPI 1053326561 - Clinic/Center - 261QP2000X

NPI Details
NPI 1053326561
Enumeration Date 07/31/2006
Last Updated 07/25/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LARRY DEAN LARRY
Position MANAGING MEMBER
Phone (360) 567-0633
Fax (360) 567-0635
Practice Location
6700 NE 162ND AVE
SUITE 411
VANCOUVER WA, 98682-3858, US
Phone (360) 567-0633
Fax (360) 567-0635
Business Location
PO BOX 52194
DEPT CODE 964
PHOENIX AZ, 85072-2194, US
Phone (503) 489-1781
Fax (503) 489-1650
Toxanomy
Taxonomy Code 261QP2000X
License State
License Number
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According to our database, Proactive Orthopedic And Sports Physical Therapy Of East Vancouver Llc NPI is 1053326561, taxonomy code is 261QP2000X Proactive Orthopedic And Sports Physical Therapy Of East Vancouver Llc physically located at 6700 Ne 162nd Ave, Vancouver WA, 98682-3858. NPI Number 1033115704 has the healthcare provider type.

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1053326561 NPI number is provided on an as is basis without warranty of any kind. 1053326561 is maintained by the National Plan & Provider Enumeration System. The contents of Proactive Orthopedic And Sports Physical Therapy Of East Vancouver Llc are for informational purposes only.