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Organization
NORTHWEST SPORT AND SPINE PHYSICAL THERAPY
Active
Organization
NORTHWEST SPORT AND SPINE PHYSICAL THERAPY
Active
Other names
Northwest Sport and Spine Physical Therapy-Mt Vernon
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN O'KELLEY BS, DPT (OWNER/PHYSICAL THERAPIST)
(360) 464-4358
Entity
Organization
Contact information
Practice address
17788 147TH ST SE, MONROE, WA 98272-1030
(360) 464-4358
Mailing address
17788 147TH ST SE, MONROE, WA 98272-1030
(360) 464-4358
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT60693079
WA
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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