Organization
INDEPENDENT PHYSICAL THERAPY, PC
Active
Other names
Peninsula Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANIA MARSH (OFFICE MGR)
(360) 275-6612
Entity
Organization
Contact information
Practice address
21 NE ROMANCE HILL RD STE 101, BELFAIR, WA 98528
(360) 275-6612
(360) 275-6658
Mailing address
PO BOX 457, BELFAIR, WA 98528-0457
(360) 275-6612
(360) 275-6658
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007051
WA
225XH1200X
Hand Occupational Therapist
00002504
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265433601
NPI
WA
Enumeration date
03/23/2007
Last updated
10/18/2024
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