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Organization
WEST CAMPUS SPORT & ORTHOPEDIC PHYSICAL PS INC.
Active
Organization
WEST CAMPUS SPORT & ORTHOPEDIC PHYSICAL PS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN M TAYLOR (ACCOUNTS MANAGER)
(253) 874-6620
Entity
Organization
Contact information
Practice address
505 S 336TH ST STE 140, FEDERAL WAY, WA 98003
(253) 874-6620
(253) 874-2542
Mailing address
505 S 336TH ST STE 140, FEDERAL WAY, WA 98003-5946
(253) 874-6620
(253) 874-2542
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002979
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09521
L&I
WA
05
—
8346322
—
WA
Enumeration date
11/30/2006
Last updated
08/23/2018
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