Organization
VILLAGE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEANNA E IRWIN-SIRES PT, MPT, OCS (OWNER)
(206) 498-8496
Entity
Organization
Contact information
Practice address
5417 IVANHOE PL NE, SEATTLE, WA 98105-2838
(206) 498-8496
Mailing address
5124 NE LATIMER PL, SEATTLE, WA 98105-4954
(206) 498-8496
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
00006079
WA
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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