Organization
SEDRO WOOLLEY PHYSICAL THERAPY, INC., PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LEANNE DAWES PT (OFFICE MANAGER)
(360) 856-4200
Entity
Organization
Contact information
Practice address
638 SUNSET PARK DR, SUITE 101, SEDRO WOOLLEY, WA 98284-1546
(360) 856-4200
(360) 856-4220
Mailing address
638 SUNSET PARK DR, SUITE 101, SEDRO WOOLLEY, WA 98284-1546
(360) 856-4200
(360) 856-4220
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT0008276
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0227042
LABOR & INDUSTRIES
WA
05
—
8436180
—
WA
Enumeration date
01/25/2008
Last updated
01/25/2008
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