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Organization
SOURCE PHYSICAL THERAPY LLC
Active
Organization
SOURCE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA CARNAHAN PT (OWNER)
(253) 857-4870
Entity
Organization
Contact information
Practice address
6659 KIMBALL DR, SUITE A101, GIG HARBOR, WA 98335-5137
(253) 857-4870
(253) 857-4876
Mailing address
6659 KIMBALL DR, SUITE A101, GIG HARBOR, WA 98335-5137
(253) 857-4870
(253) 857-4876
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
602296233
WA
Other
Enumeration date
09/27/2006
Last updated
09/30/2014
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