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Organization
RESTORE PHYSICAL THERAPY PS
Active
Organization
RESTORE PHYSICAL THERAPY PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN F MOTT MSPT, JSCC (OWNER/PROVIDER)
(253) 446-6507
Entity
Organization
Contact information
Practice address
13909 MERIDIAN E STE A2, PUYALLUP, WA 98373-9180
(253) 446-6507
(253) 446-6194
Mailing address
13909 MERIDIAN E STE A2, PUYALLUP, WA 98373-9180
(253) 446-6507
(253) 446-6194
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6891
WA
Other
Enumeration date
09/30/2015
Last updated
11/22/2019
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