| Organization Name: | PHYSICAL THERAPY ASSOCIATES OF CAMAS |
| NPI Number: | 1154574614 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIE GUY SANDRY (PRESIDENT) |
| Mailing Address: | 414 Ne 3rd Ave Camas |
| State: | WA US |
| Postal Code: | 986072154 |
| Phone Number: | 3608347760 |
| Fax Number: | 3608342756 |
| NPI Enumeration Date: | 10/28/2008 |
| NPI Last Update Date: | 11/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 00008543 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |