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Organization
ADELINE PHYSICAL THERAPY PLLC
Active
Organization
ADELINE PHYSICAL THERAPY PLLC
Active
Other names
Adeline Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN KENDALL MCDANNEL PT, DPT (OWNER)
(253) 256-5505
Entity
Organization
Contact information
Practice address
1429 20TH AVE SW, PUYALLUP, WA 98371-7301
(253) 256-5505
Mailing address
1429 20TH AVE SW, PUYALLUP, WA 98371-7301
(253) 256-5505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251E1200X
Ergonomics Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251H1300X
Human Factors Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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