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Organization
PT4GOLFLLC
Active
Organization
PT4GOLFLLC
Active
Other names
PT4GOLF
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN MARK LIBMAN PT (OWNER)
(425) 820-2810
Entity
Organization
Contact information
Practice address
12449 83RD PL NE, KIRKLAND, WA 98034-2570
(425) 820-2810
(425) 487-2804
Mailing address
12449 83RD PL NE, KIRKLAND, WA 98034-2570
(425) 820-2810
(425) 487-2804
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7490
WA
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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