Martha Lake Physical Therapy INC

NPI #1104265412 in Lynnwood, Washington

Provider Information

NPI Number: 1104265412
Entity Type: Organization
Organization Name: Martha Lake Physical Therapy INC
Primary Specialty: Physical Therapist
Enumeration Date: Jun 19, 2013
Last Updated: Jun 19, 2013

Practice Location

Address: 16406 7TH PL W
City: Lynnwood
State: Washington
ZIP Code: 98037-8100
Phone: (425) 672-2910

Authorized Official

Name: JEFFREY A WALDRON, DPT
Title: CEO
Phone: (425) 672-2910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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