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Organization
PHYSICAL THERAPY SPECIALISTS, PS
Active
Organization
PHYSICAL THERAPY SPECIALISTS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M BONEY MSPT (OWNER PHYSICAL THERAPIST)
(360) 423-1113
Entity
Organization
Contact information
Practice address
PHYSICAL THERAPY SPECIALISTS, 1152 DOUGLAS ST, LONGVIEW, WA 98632
(360) 423-1113
(360) 423-1115
Mailing address
PHYSICAL THERAPY SPECIALISTS, PO BOX 2369, LONGVIEW, WA 98632
(360) 423-1113
(360) 423-1115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006372
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0130397
L&I
WA
05
—
7107972
—
WA
Enumeration date
12/11/2006
Last updated
08/17/2010
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