# WINTHROP PHYSICAL THERAPY PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649248154
- **Authorized official:** PETER B DICKINSON MSPT, SCS (OWNER/PRESIDENT)
- **Authorized official phone:** (509) 996-8234

## Contact information

- **Practice address:** 202 WHITE AVE, WINTHROP, WA 98862-9774
- **Practice address phone:** (509) 996-8234
- **Practice address fax:** (509) 996-2193
- **Mailing address:** PO BOX 814, WINTHROP, WA 98862-0814
- **Mailing address phone:** (509) 996-8234
- **Mailing address fax:** (509) 996-2193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251S0007X | Sports Physical Therapist | 602118917 | WA | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 03/09/2006
- **Last updated:** 11/11/2010