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Organization
THERAPY MANAGEMENT SERVICES, PLLC
Active
Organization
THERAPY MANAGEMENT SERVICES, PLLC
Active
Other names
South Lake Union Physical Therapy, LLC, South Lake Union Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DWAN DIAZ (CREDENTIALING COORDINATOR)
(425) 450-9474
Entity
Organization
Contact information
Practice address
1000 DEXTER AVE N STE 320, SEATTLE, WA 98109-3582
(206) 486-3344
(206) 832-4733
Mailing address
915 118TH AVE SE STE 110, BELLEVUE, WA 98005-3875
(425) 450-9474
(425) 452-0704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
04/09/2019
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