# LOPEZ ISLAND PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lopez Island Physical Therapy LLC, Lopez Island Physical Therapy, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982128880
- **Authorized official:** CHRISTINA J MCCREA (AUTHORIZED OFFICIAL ADMINISTRATOR)
- **Authorized official phone:** (360) 468-4382

## Contact information

- **Practice address:** 192 LOPEZ RD, LOPEZ ISLAND, WA 98261-8290
- **Practice address phone:** (360) 468-4382
- **Practice address fax:** (360) 468-2193
- **Mailing address:** PO BOX 881, LOPEZ ISLAND, WA 98261-0881
- **Mailing address phone:** (360) 468-2245
- **Mailing address fax:** (360) 468-2193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/01/2017
- **Last updated:** 07/25/2024