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Organization

COMSTOCK PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINNEA SINGLETON COMSTOCK PT (PRESIDENT OWNER)
(360) 455-8014
Entity
Organization

Contact information

Practice address
165 LILLY RD NE, SUITE B, OLYMPIA, WA 98506-5028
(360) 455-8014
(360) 455-8719
Mailing address
165 LILLY RD NE, SUITE B, OLYMPIA, WA 98506-5028
(360) 455-8014
(360) 455-8719

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
602095157
WA
225700000X
Massage Therapist
602095157
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0148843
LABOR AND INDUSTRIES
WA
01
366LCO
REGENCE
WA
05
7106701
WA
Enumeration date
11/13/2006
Last updated
05/06/2008
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