Organization
SEQUIM PHYSICAL THERAPY CENTER, PS
Active
Other names
Fyzical Therapy and Balance Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON S WILWERT MPT OCS (BUSINESS OWNER)
(360) 683-0632
Entity
Organization
Contact information
Practice address
500 W FIR ST, SUITE A, SEQUIM, WA 98382-3201
(360) 683-0632
(360) 681-5483
Mailing address
500 W FIR ST, SUITE A, SEQUIM, WA 98382-3201
(360) 683-0632
(360) 681-5483
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
6022916710010001
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0173768
WORKMANS COMP DEPT OF L&I
—
05
—
7117260
—
WA
Enumeration date
08/30/2006
Last updated
09/15/2016
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