Organization
PECKHAM ENTERPRISES, LLC
Active
Other names
NORTH END PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN CARTER MOESER-PECKHAM DPT, CMP (OWNER)
(253) 761-7795
Entity
Organization
Contact information
Practice address
3007 6TH AVE, TACOMA, WA 98406-6202
(253) 761-7795
(253) 761-7796
Mailing address
3007 6TH AVE, TACOMA, WA 98406-6202
(253) 761-7795
(253) 761-7796
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
8647
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8373581
—
WA
Enumeration date
11/06/2009
Last updated
07/11/2012
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