Organization
HARBOR PHYSICAL THERAPY AND WELLNESS CLINIC
Active
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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