Organization
PROUSE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYAN N PROUSE DR. (OWNER)
(360) 731-1243
Entity
Organization
Contact information
Practice address
17141 VASHON HWY SW, SUITE 103, VASHON, WA 98070-4603
(360) 731-1243
Mailing address
PO BOX 921, VASHON, WA 98070-0921
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
00007497
WA
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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