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1053326561
PROACTIVE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF EAST VANCOUVER LLC
VANCOUVER, WA
NPI
1053326561
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Entity Type
Organization
Authorized Contact
LARRY DEAN KROUT
Managing Member
503-740-8847
Organization Subpart ?
No
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date
2006-07-31
Last Update Date
2008-07-25
Business Address
PROACTIVE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF EAST VANCOUVER LLC
6700 NE 162ND AVE SUITE 411
VANCOUVER, WA 98682-3858
Phone number: 360-567-0633
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Mailing Address
PROACTIVE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF EAST VANCOUVER LLC
PO BOX 52194 DEPT CODE 964
PHOENIX, AZ 85072-2194
Phone number: 503-489-1781
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