Individual
JACK OGILVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6985 COAL CREEK PKWY SE, NEWCASTLE, WA 98059-3136
(425) 378-0500
(425) 378-8168
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12284
SC
225100000X
Physical Therapist
61338082
WA
225100000X
Physical Therapist
CP014879T
CO
225100000X
Physical Therapist
CP025820T
NC
225100000X
Physical Therapist
Primary
—
WA
Other
Enumeration date
08/15/2022
Last updated
06/11/2024
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