Northwest Physical Therapy Sports Rehabilitation Center, Inc., P.s.
NPI #1174523054 in Mount Vernon, Washington
Provider Information
- NPI Number
- 1174523054
- Entity Type
- Organization
- Organization Name
- Northwest Physical Therapy Sports Rehabilitation Center, Inc., P.s.
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jul 21, 2005
- Last Updated
- Apr 22, 2008
Practice Location
- Address
- 110 N LAVENTURE RD
- Address 2
- STE A
- City
- Mount Vernon
- State
- Washington
- ZIP Code
- 98273-3901
- Phone
- (360) 428-2700
Authorized Official
- Name
- ERNEST K. NIHI
- Title
- OFFICE ADMINISTRATION
- Phone
- (360) 428-2700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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