Organization
EVOLVE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY SCHWARTZ PT (PHYSICAL THERAPIST)
(248) 568-6626
Entity
Organization
Contact information
Practice address
1415 12TH AVE, SEATTLE, WA 98122-3905
(248) 568-6626
Mailing address
120 10TH AVE E # 206, SEATTLE, WA 98102-5708
(248) 568-6626
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114473915
—
WA
Enumeration date
06/16/2020
Last updated
06/16/2020
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