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Organization
THERAPY MANAGEMENT SERVICES, PLLC
Active
Organization
THERAPY MANAGEMENT SERVICES, PLLC
Active
Other names
Source Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DWAN AYALA (CREDENTIALING COORDINATOR)
(425) 450-9474
Entity
Organization
Contact information
Practice address
6659 KIMBALL DR STE A101, GIG HARBOR, WA 98335-5138
(253) 857-4870
(253) 857-4876
Mailing address
915 118TH AVE SE STE 110, BELLEVUE, WA 98005-3875
(425) 450-9474
(425) 452-0704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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