Organization
MAGNOLIA PHYSICAL THERAPY CO
Active
Other names
Magnolia Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID D SELF PT (OWNER)
(206) 660-1218
Entity
Organization
Contact information
Practice address
2560 32ND AVE W, SEATTLE, WA 98199-3220
(206) 660-1218
Mailing address
PO BOX 99483, SEATTLE, WA 98139-0483
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT00007836
WA
Other
Enumeration date
05/13/2015
Last updated
07/27/2017
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