Organization
TURNING LEAF PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRINA JAN LEAF P.T. (OWNER)
(253) 514-7701
Entity
Organization
Contact information
Practice address
9107 73RD AVENUE CT NW, GIG HARBOR, WA 98332-6727
(253) 514-7701
(253) 853-3987
Mailing address
9107 73RD AVENUE CT NW, GIG HARBOR, WA 98332-6727
(253) 514-7701
(253) 853-3987
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT 00008055
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053384727
OWCP
WA
01
—
616881800
FEDERAL L&I
WA
01
—
8341778
DSHS
WA
Enumeration date
01/02/2010
Last updated
01/22/2013
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