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Organization
NORTHWEST PHYSICAL THERAPY SPORTS REHABILITATION CENTER, INC., P.S.
Active
Organization
NORTHWEST PHYSICAL THERAPY SPORTS REHABILITATION CENTER, INC., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST K. NIHI (OFFICE ADMINISTRATION)
(360) 428-2700
Entity
Organization
Contact information
Practice address
110 N LAVENTURE RD, STE A, MOUNT VERNON, WA 98273-3901
(360) 428-2700
(360) 428-2701
Mailing address
110 N LAVENTURE RD, STE A, MOUNT VERNON, WA 98273-3901
(360) 428-2700
(360) 428-2701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
600377134
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7155104
—
WA
01
—
CF8029
RAILROAD MEDICARE
WA
Enumeration date
07/21/2005
Last updated
04/22/2008
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