Organization
SIMONETTI PHYSICAL THERAPY INCORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH MAY SIMONETTI P.T. (OWNER OPERATOR)
(360) 456-5154
Entity
Organization
Contact information
Practice address
4044 15TH LN SE, SUITE B, LACEY, WA 98503-6962
(360) 456-5154
(360) 456-0844
Mailing address
4044 15TH LN SE, SUITE B, LACEY, WA 98503-6962
(360) 456-5154
(360) 456-0844
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT00002344
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7071855
—
WA
Enumeration date
05/24/2007
Last updated
10/02/2007
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