Organization
PENINSULA PEDIATRIC THERAPY, LLC
Active
Organization
PENINSULA PEDIATRIC THERAPY, LLC
Active
Other names
Peninsula Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE J MURRAY (PHYSICAL THERAPIST)
(253) 857-5437
Entity
Organization
Contact information
Practice address
6659 KIMBALL DR, SUITE C 303, GIG HARBOR, WA 98335-5137
(253) 857-5437
(253) 857-5497
Mailing address
6659 KIMBALL DR, SUITE C 303, GIG HARBOR, WA 98335-5137
(253) 857-5437
(253) 857-5497
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT00003270
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7025612
—
WA
01
—
7206729
AETNA
WA
01
—
MU7914
REGENCE BLUESHIELD
WA
Enumeration date
10/13/2006
Last updated
12/22/2009
Update your record
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