Organization
ASPIRE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE PEDERSEN (OWNER)
(360) 825-1540
Entity
Organization
Contact information
Practice address
553 ROOSEVELT AVE, SUITE 101, ENUMCLAW, WA 98022-2990
(360) 825-1540
Mailing address
553 ROOSEVELT AVE, SUITE 101, ENUMCLAW, WA 98022-2990
(360) 825-1540
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/28/2012
Last updated
12/14/2012
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