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Organization

INDEPENDENT PHYSICAL THERAPY, PC

Active
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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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