Organization
HARBOR PHYSICAL THERAPY SERVICES, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL MARIE WILSON PT (PRESIDENT)
(360) 533-3853
Entity
Organization
Contact information
Practice address
220 W 1ST ST, ABERDEEN, WA 98520-6216
(360) 533-3853
(360) 533-3310
Mailing address
220 W 1ST ST, ABERDEEN, WA 98520-6216
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015007
LABOR AND INDUSTRIES
WA
05
—
7921703
—
WA
Enumeration date
08/05/2006
Last updated
10/11/2007
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