Organization
UPTOWN PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY AERTS PT, OCS, COMT (OWNER)
(360) 385-1035
Entity
Organization
Contact information
Practice address
1215 LAWRENCE ST, SUITE 101, PORT TOWNSEND, WA 98368-6559
(360) 385-1035
(360) 385-4395
Mailing address
1215 LAWRENCE ST, SUITE 101, PORT TOWNSEND, WA 98368-6559
(360) 385-1035
(360) 385-4395
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0244023
LABOR AND INDUSTRY
WA
05
—
7105760
—
WA
05
—
7684202
—
WA
Enumeration date
03/16/2009
Last updated
01/14/2010
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