JOHN SOUKUP

COOS BAY, OR
NPI1427091487
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  6090)
Enumeration Date2006-06-14
Last Update Date2009-10-19
Business Address
-- JOHN SOUKUP PT, MTC
1650 THOMPSON RD
COOS BAY, OR 97420-2170
Phone number: 541-269-7212
Mailing Address
-- JOHN SOUKUP PT, MTC
1650 THOMPSON RD
COOS BAY, OR 97420-2170
Phone number: 541-269-7212