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Organization
MARYSVILLE PHYSICAL THERAPY, INC.
Active
Organization
MARYSVILLE PHYSICAL THERAPY, INC.
Active
Other names
NorthSound Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KARL H. HEDEEN PT (VICE PRESIDENT)
(360) 629-7528
Entity
Organization
Contact information
Practice address
9516 STATE AVE, STE. B, MARYSVILLE, WA 98270-2277
(360) 658-8857
(360) 659-8296
Mailing address
27500 102ND AVE NW, STE 1, STANWOOD, WA 98292-8092
(360) 629-7528
(360) 629-7632
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118546
DEPT OF L&I GROUP #
WA
05
—
7091077
—
WA
01
—
8933936
DEPT OF L&I CRIME VICTIMS
WA
01
—
NO5342
REGENCE BLUE SHIELD GRP#
WA
Enumeration date
08/29/2005
Last updated
08/22/2020
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