Organization
DIRKSEN PHYSICAL THERAPY INC PS
Active
Other names
Dirksen Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNE DIRKSEN PT (OWNER)
(360) 385-9310
Entity
Organization
Contact information
Practice address
27 COLWELL STREET, PORT HADLOCK, WA 98339
(360) 385-9310
(360) 379-8826
Mailing address
PO BOX 897, PORT HADLOCK, WA 98339-0897
(360) 385-9310
(360) 379-8826
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7087661
—
WA
Enumeration date
07/27/2006
Last updated
08/22/2020
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