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Organization
OUTPATIENT PHYSICAL THERAPY & SPORTS REHABILITATION INC PC
Active
Organization
OUTPATIENT PHYSICAL THERAPY & SPORTS REHABILITATION INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN B STEELE PT (OWNER)
(425) 413-4427
Entity
Organization
Contact information
Practice address
27005 168TH PL SE, STE 200, COVINGTON, WA 98042-4902
(253) 639-4788
Mailing address
26837 MAPLE VALLEY BLACK DIAMOND RD SE, STE 201, MAPLE VALLEY, WA 98038-9917
(425) 413-4427
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7086606
—
WA
01
—
GAB11700
MEDICARE PTAN
WA
Enumeration date
02/24/2010
Last updated
01/14/2013
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