Organization
OLYMPIC PTWEST AT ARROWHEAD LLC
Active
Other names
Olympic PTWest
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY C POLLOCK (CREDENTIALING SPECIALIST)
(425) 454-4864
Entity
Organization
Contact information
Practice address
6320 W UNION HILLS DR, SUITE 20108, GLENDALE, AZ 85308-1096
(602) 439-3800
Mailing address
1188 106TH AVE NE, SUITE 100, BELLEVUE, WA 98004-8614
(425) 454-4864
(425) 646-3901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN9649
RAILROAD MEDICARE
AZ
Enumeration date
11/15/2006
Last updated
06/19/2009
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