Organization
POINT FOSDICK PHYSICAL THERAPY, INC PS
Active
Other names
Harbor Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL G BLAKNEY JR. PT (PHYSICAL THERAPIST, OWNER)
(253) 851-5718
Entity
Organization
Contact information
Practice address
4700 POINT FOSDICK DRIVE NW, SUITE 213, GIG HARBOR, WA 98335
(253) 851-5718
(253) 853-6922
Mailing address
4700 POINT FOSDICK DRIVE NW, SUITE 213, GIG HARBOR, WA 98335
(253) 851-5718
(253) 853-6922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT00002125
WA
261QP2000X
Physical Therapy Clinic/Center
Primary
601283625
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7095854
—
WA
Enumeration date
06/24/2006
Last updated
03/26/2013
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