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Organization

ANDREW EISEN PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANDREW S EISEN DPT (OWNER/PHYSICAL THERAPIST)
(917) 855-1305
Entity
Organization

Contact information

Practice address
4649 SUNNYSIDE AVE N, SUITE 302, SEATTLE, WA 98103-6900
(206) 588-0855
(206) 588-0397
Mailing address
PO BOX 730, LAKE STEVENS, WA 98258-0730
(425) 374-8383
(425) 322-4421

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60046366
WA

Other

Enumeration date
01/23/2013
Last updated
01/23/2013
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