Organization
BRING MOTION BACK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL W BAUDENDISTEL LPT (PRESIDENT/LPT)
(360) 970-4817
Entity
Organization
Contact information
Practice address
8650 MARTIN WAY E, SUITE #1, LACEY, WA 98516-6610
(360) 970-4817
Mailing address
PO BOX 11128, OLYMPIA, WA 98508-1128
(360) 970-4817
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009567
WA
225X00000X
Occupational Therapist
OT00001630
WA
Other
Enumeration date
06/03/2010
Last updated
06/04/2010
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