Organization
ALLIANCE PHYSICAL THERAPY LLC
Active
Parent organization
ALLIANCE PHYSICAL THERAPY LLC
Other names
Twin Lakes Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLIANCE PHYSICAL THERAPY LLC
Authorized official
MR. STEVEN G WITTROCK PT (OWNER)
(253) 838-2464
Entity
Organization
Contact information
Practice address
2500 SW 336TH ST, STE E, FEDERAL WAY, WA 98023
(253) 838-6611
(253) 838-6789
Mailing address
34507 PACIFIC HWY S, 6, FEDERAL WAY, WA 98003
(253) 838-6611
(253) 838-6789
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT00003078
WA
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7099658
—
WA
Enumeration date
02/14/2007
Last updated
03/05/2008
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