Organization
PACIFIC PHYSICAL THERAPY PLLC
Active
Parent organization
PACIFIC PHYSICAL THERAPY PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PACIFIC PHYSICAL THERAPY PLLC
Authorized official
LAUREN M PALMER (OFFICE MANAGER)
(360) 329-7052
Entity
Organization
Contact information
Practice address
3114 NW RANDALL WAY STE 300, SILVERDALE, WA 98383-7676
(360) 625-9161
(360) 625-9215
Mailing address
1950 POTTERY AVE STE 110, PORT ORCHARD, WA 98366-2501
(360) 329-7052
(360) 329-7053
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2041063
—
WA
Enumeration date
04/11/2022
Last updated
04/11/2022
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