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Organization
THERAPY MANAGEMENT SERVICES, PLLC
Active
Organization
THERAPY MANAGEMENT SERVICES, PLLC
Active
Other names
Performance Physical Therapy - Bonney Lake, Performance Physical Therapy - Enumclaw, Performance Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DWAN AYALA (CREDENTIALING COORDINATOR)
(425) 450-9474
Entity
Organization
Contact information
Practice address
21525 STATE ROUTE 410 E STE B, BONNEY LAKE, WA 98391-4101
(253) 826-8520
(253) 826-8522
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
133V00000X
Registered Dietitian
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/24/2019
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