Organization
FAMILYCARE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY SWEARENGIN (GENERAL ADMINISTRATOR)
(360) 331-7850
Entity
Organization
Contact information
Practice address
11042 STATE ROUTE 525, #106, CLINTON, WA 98236-8618
(360) 331-7850
(360) 331-4114
Mailing address
11042 STATE ROUTE 525, #106, CLINTON, WA 98236-8618
(360) 331-7850
(360) 331-4114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0130162
DEPT. OF LABOR GROUP #
WA
05
—
7084700
—
WA
01
—
CG9849
RAILROAD RETIREMENT GROUP
WA
Enumeration date
06/16/2006
Last updated
08/22/2020
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