Organization
JEFFERSON COUNTY PUBLIC HOSPITAL DIST NO 2
Active
Other names
Jefferson Healthcare Port Townsend Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ALONA COWING (OFFICE MANAGER)
(360) 385-6297
Entity
Organization
Contact information
Practice address
1200 W SIMS WAY, STE C, PORT TOWNSEND, WA 98368-3031
(360) 385-6297
(360) 385-7807
Mailing address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 385-2200
(360) 379-2297
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007845
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183590
LABOR & INDUSTRIES
WA
01
—
3443SE
REGENCE
WA
05
—
8337412
—
WA
Enumeration date
10/25/2007
Last updated
01/31/2012
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