Organization
STRETCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WOLFGANG E BROLLEY RPT,LMP,RC (OWNER/FOUNDER)
(206) 624-7602
Entity
Organization
Contact information
Practice address
201 YALE AVE N, SEATTLE, WA 98109-5430
(206) 624-7602
(206) 624-7606
Mailing address
201 YALE AVE N, SEATTLE, WA 98109-5430
(206) 624-7602
(206) 624-7606
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
602622922
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0235644
WASHINGTON STATE DEPARTMENT OF LABOUR AND INDUSTRIES
WA
Enumeration date
08/26/2009
Last updated
08/26/2009
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