Organization
TERI JO LIENTZ DPT MPT ATC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERI JO LIENTZ DPT, MPT, ATC (OWNER)
(360) 627-7768
Entity
Organization
Contact information
Practice address
4970 AUTO CENTER WAY, BREMERTON, WA 98312-3328
(360) 627-7768
(360) 627-8003
Mailing address
4970 AUTO CENTER WAY, BREMERTON, WA 98312-3328
(360) 627-7768
(360) 627-8003
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992834352
NPPES
WA
Enumeration date
06/28/2017
Last updated
07/21/2022
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