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Organization
RET SUNRISE PHYSICAL THERAPY, PLLC
Active
Organization
RET SUNRISE PHYSICAL THERAPY, PLLC
Active
Other names
RET Sunrise Physical Therapy PLLC, RET Physical Therapy & Healthcare Specialists, Sunrise Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DWAN DIAZ (CREDENTIALING COORDINATOR)
(813) 560-8157
Entity
Organization
Contact information
Practice address
17528 MERIDIAN E STE 205, PUYALLUP, WA 98375-6286
(253) 256-4807
(253) 256-4809
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(813) 560-8157
(425) 452-0704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225XH1200X
Hand Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
07/16/2013
Last updated
12/27/2022
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