Organization
LAKE CHELAN PHYSICAL THERAPY, PS
Active
Other names
Lake Chelan Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA TAYLOR (BOOKKEEPER)
(509) 682-4713
Entity
Organization
Contact information
Practice address
123 E JOHNSON AVE, CHELAN, WA 98816
(509) 682-4713
(509) 682-3218
Mailing address
PO BOX 6, CHELAN, WA 98816-0006
(509) 682-4713
(509) 682-3218
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33460
COMPANY L&I ID
WA
05
—
7047947
—
WA
Enumeration date
11/08/2005
Last updated
08/22/2020
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