Organization
PARKLAND PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM RUSSELL JR. MPT, ATC (PHYSICAL THERAPIST/MANAGER)
(253) 531-8595
Entity
Organization
Contact information
Practice address
12001 PACIFIC AVE S, TACOMA, WA 98444-5101
(253) 531-8595
(253) 531-6607
Mailing address
12001 PACIFIC AVE S, #101, TACOMA, WA 98444-5101
(253) 531-8595
(253) 531-6607
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT00008063
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7113327
—
WA
Enumeration date
01/11/2006
Last updated
08/13/2007
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