Organization
ARTHUR BRADLEY PETERSONPY
Active
Other names
Ferndale Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY KUIPERS (OFFICE MANAGER)
(360) 384-5171
Entity
Organization
Contact information
Practice address
5603 THIRD AVE, FERNDALE, WA 98248-1943
(360) 384-5171
(360) 384-0350
Mailing address
PO BOX 1946, FERNDALE, WA 98248-1946
(360) 384-5171
(360) 384-0350
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038888
LABOR & INDUSTRIES
WA
05
—
7027824
—
WA
Enumeration date
02/12/2007
Last updated
06/12/2008
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