Organization
HARBOR PHYSICAL THERAPY AND WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAMES GOODMAN PT (OWNER, PHYSICAL THERAPIST)
(360) 331-3969
Entity
Organization
Contact information
Practice address
5508 HARBOR AVE, FREELAND, WA 98249
(360) 331-3969
(360) 331-0152
Mailing address
PO BOX 958, FREELAND, WA 98249-0958
(360) 331-3969
(360) 331-0152
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
603025614
WA
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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