Performance Sports and Spine Physical Therapy Ps
NPI #1093957292 in Bonney Lake, Washington
Provider Information
- NPI Number
- 1093957292
- Entity Type
- Organization
- Organization Name
- Performance Sports and Spine Physical Therapy Ps
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Apr 2, 2009
- Last Updated
- Dec 6, 2023
Practice Location
- Address
- 21525 HWY 410 E
- Address 2
- SUITE B
- City
- Bonney Lake
- State
- Washington
- ZIP Code
- 98391-4101
- Phone
- (253) 826-8520
Authorized Official
- Name
- BOBBY ISMAIL
- Title
- PRESIDENT
- Phone
- (209) 353-1988
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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