Organization
PUGET SOUND PHYSICAL THERAPY LLC
Active
Other names
Puget Sound Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DICKERSON DPT (OWNER)
(360) 438-4200
Entity
Organization
Contact information
Practice address
3201 WILLAMETTE DR NE, SUITE C, LACEY, WA 98516-1376
(321) 401-1361
(407) 390-1765
Mailing address
3201 WILLAMETTE DR NE, SUITE C, LACEY, WA 98516-1376
(321) 401-1361
(407) 390-1765
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2016
Last updated
04/06/2016
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