Organization
SCAMMON CREEK PHYSICAL THERAPY, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ALLAN PRANDI MSPT (PRESIDENT)
(360) 330-9346
Entity
Organization
Contact information
Practice address
2700 COLONIAL DR APT 305, CENTRALIA, WA 98531-8858
(360) 330-9346
(360) 330-9347
Mailing address
PO BOX 383, LITTLEROCK, WA 98556-0383
(360) 330-9346
(360) 330-9347
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
WA
Other
Enumeration date
01/11/2008
Last updated
03/04/2008
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