Organization
NORTH HARBOR PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRESTON OWEN BUCKHOLZ DPT (OWNER/PHYSICAL THERAPIST)
(253) 722-5511
Entity
Organization
Contact information
Practice address
11430 51ST AVE NW, SUITE 101B, GIG HARBOR, WA 98332-7897
(253) 858-8555
(253) 858-8560
Mailing address
11430 51ST AVE NW, SUITE 101B, GIG HARBOR, WA 98332-7897
(253) 858-8555
(253) 858-8560
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
602512736
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7200132
—
WA
Enumeration date
08/03/2006
Last updated
08/22/2020
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