Organization
HOOD CANAL THERAPY AND FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYNELL HOLDEN PTMS (DIRECTOR)
(360) 490-4136
Entity
Organization
Contact information
Practice address
252 MCREAVY, UNION, WA 98592-0132
(360) 490-4136
(360) 285-1225
Mailing address
PO BOX 132, UNION, WA 98592-0132
(360) 490-4136
(360) 285-1225
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH00006808
WA
104100000X
Social Worker
LW00006768
WA
225100000X
Physical Therapist
Primary
PT00007741
WA
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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