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Organization
PEAK SPORTS AND SPINE PT-ISSAQUAH P S
Active
Organization
PEAK SPORTS AND SPINE PT-ISSAQUAH P S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL L SWWINSCOE JR. MPT (OWNER)
(425) 391-9211
Entity
Organization
Contact information
Practice address
1445 NW MALL STREET, STE. 1, ISSAQUAH, WA 98027
(425) 391-9211
(425) 391-9545
Mailing address
1445 NW MALL STREET, STE. 1, ISSAQUAH, WA 98027
(425) 391-9211
(425) 391-9545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005443
WA
Other
Enumeration date
04/23/2007
Last updated
01/08/2019
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