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Organization

ACTIVE PHYSICAL THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COURTENEY J BEALKO PT, CERT. MDT, CSCS (PRESIDENT)
(206) 284-9088
Entity
Organization

Contact information

Practice address
1415 W DRAVUS ST, SEATTLE, WA 98119-1716
(206) 284-9088
(206) 285-4946
Mailing address
1415 W DRAVUS ST, SEATTLE, WA 98119-1716
(206) 284-9088
(206) 285-4946

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT00008630
WA

Other

Enumeration date
09/28/2006
Last updated
05/04/2010
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