Organization
DUPONT PHYSICAL THERAPY, INC., P.S.
Active
Other names
Dupont Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY ANN PROVOZNIK (VP OPERATIONS)
(360) 338-0181
Entity
Organization
Contact information
Practice address
1525 WILMINGTON DRIVE, DUPONT, WA 98327-9999
(253) 212-9670
(360) 338-0257
Mailing address
100 DENNIS ST SW STE B, TUMWATER, WA 98501-6523
(360) 338-0181
(360) 338-0257
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/22/2015
Last updated
03/15/2021
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