Organization
SEA PINES PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE HOLLOWAY (MANAGER)
(206) 953-0348
Entity
Organization
Contact information
Practice address
3724 WALNUT AVE SW, SEATTLE, WA 98116-3838
(206) 953-0348
Mailing address
3724 WALNUT AVE SW, SEATTLE, WA 98116-3838
(206) 953-0348
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0291064
L&I
WA
05
—
1316173586
—
WA
Enumeration date
12/05/2020
Last updated
12/05/2020
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