Pine Lake Physical Therapy & Sports Rehab, P.s.

NPI #1356471684 in Sammamish, Washington

Provider Information

NPI Number
1356471684
Entity Type
Organization
Organization Name
Pine Lake Physical Therapy & Sports Rehab, P.s.
Primary Specialty
Physical Therapist - Orthopedic
Enumeration Date
Mar 6, 2007
Last Updated
Mar 19, 2009

Practice Location

Address
2850 228TH AVE SE
Address 2
SUITE B
ZIP Code
98075-9301
Phone
(425) 391-4488

Authorized Official

Name
MR. RONALD DEAN ENYEART, P.T.
Title
OWNER
Phone
(425) 391-4488

Specialties & Taxonomy Codes

Specialty
Physical Therapist - OrthopedicOrthopedic

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