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Organization
UNION PHYSICAL THERAPY LLC
Active
Organization
UNION PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL GOUGH OWENS JR. MSPT (PHYSICAL THERAPIST)
(206) 819-4002
Entity
Organization
Contact information
Practice address
3876 BRIDGE WAY N, SUITE 202, SEATTLE, WA 98103-7951
(206) 819-4002
(206) 322-4461
Mailing address
PO BOX 1510, LAKE STEVENS, WA 98258-1510
(360) 223-2807
(206) 322-4461
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 00009618
WA
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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