Organization
EAGLE ROCK PHYSICAL THERAPY, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN ISENHART DPT (PRESIDENT)
(509) 689-4301
Entity
Organization
Contact information
Practice address
411 HOSPITAL WAY, BREWSTER, WA 98812
(509) 689-4301
(509) 689-4307
Mailing address
PO BOX 769, 411 HOSPITAL WAY, BREWSTER, WA 98812-0769
(509) 689-4301
(509) 689-4307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003294
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7131659
—
WA
Enumeration date
02/19/2008
Last updated
11/12/2018
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