Organization
PHYSIOTHERAPY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE FLECK-POOL (CHIEF COMPLIANCE OFFICER)
(469) 467-8705
Entity
Organization
Contact information
Practice address
6334 LITTLEROCK RD SW, SUITE 103, TUMWATER, WA 98512-7332
(360) 786-0878
(360) 786-0884
Mailing address
6334 LITTLEROCK RD SW, SUITE 103, TUMWATER, WA 98512-7332
(360) 786-0878
(360) 786-0884
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34780
LABOR & INDUSTRIES
WA
05
—
7122161
—
WA
Enumeration date
06/03/2006
Last updated
06/28/2010
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