Organization
PINE LAKE PHYSICAL THERAPY & SPORTS REHAB, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD DEAN ENYEART P.T. (OWNER)
(425) 391-4488
Entity
Organization
Contact information
Practice address
2850 228TH AVE SE, SUITE B, SAMMAMISH, WA 98075-9301
(425) 391-4488
(425) 391-8287
Mailing address
2850 228TH AVE SE, SUITE B, SAMMAMISH, WA 98075-9301
(425) 391-4488
(425) 391-8287
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT00003047
WA
Other
Enumeration date
03/06/2007
Last updated
03/19/2009
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