Organization
LIBERTY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM BENNETT PT PHD (PHYSICAL THERAPIST/OWNER MANAGER)
(206) 778-6405
Entity
Organization
Contact information
Practice address
1820 12TH AVE, SUITE 101, SEATTLE, WA 98122-2438
(206) 860-3746
Mailing address
9000 SE 45TH ST, MERCER ISLAND, WA 98040-4144
(206) 778-6405
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
00002906
WA
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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