Organization
WASHOUGAL SPORT AND SPINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN M MCCARTHY PT (PRESIDENT/OWNER)
(360) 904-9698
Entity
Organization
Contact information
Practice address
1700 MAIN, SUITE 222, WASHOUGAL, WA 98671
(360) 904-9698
Mailing address
1700 MAIN, SUITE 222, WASHOUGAL, WA 98671
(360) 904-9698
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT00009023
WA
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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