| Organization Name: | CAPITOL PHYSICAL THERAPY, INC |
| NPI Number: | 1174890479 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS J WILLIAMS (OWNER/PRESIDENT/THERAPIST) |
| Mailing Address: | 117 Mcnary Estates Dr N Keizer |
| State: | OR US |
| Postal Code: | 973037459 |
| Phone Number: | 5034007717 |
| Fax Number: | 5034006022 |
| NPI Enumeration Date: | 11/30/2011 |
| NPI Last Update Date: | 01/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251H1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |