Organization
X-CEL ENTERPRISES, INC.
Active
Other names
PhysioCare
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN N WHITEHEAD PTA (EXECUTIVE DIRECTOR)
(206) 979-8248
Entity
Organization
Contact information
Practice address
17191 BOTHELL WAY NE, SUITE B203, LAKE FOREST PARK, WA 98155
(206) 367-6069
(206) 367-6319
Mailing address
328 S STILLAGUAMISH AVE, ARLINGTON, WA 98223-1660
(360) 474-8686
(360) 474-0246
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0167362
L&I
WA
05
—
7114713
—
WA
Enumeration date
10/10/2006
Last updated
08/11/2009
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