Organization
INTEGRATIVE PHYSICAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDY D. DEBOO PT (OWNER)
(360) 715-8686
Entity
Organization
Contact information
Practice address
2114 JAMES ST, BELLINGHAM, WA 98225-4140
(360) 715-8686
(360) 715-1680
Mailing address
2114 JAMES ST, BELLINGHAM, WA 98225-4140
(360) 715-8686
(360) 715-1680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
602346794
WA
2251P0200X
Pediatric Physical Therapist
602346794
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0180793
LABOR AND INDUSTRIES
WA
05
—
7122088
—
WA
Enumeration date
10/19/2006
Last updated
07/28/2010
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