Bonney Lake Physical Therapy and Hand Rehab, Pllc

NPI #1558509786 in Bonney Lake, Washington

Provider Information

NPI Number: 1558509786
Entity Type: Organization
Organization Name: Bonney Lake Physical Therapy and Hand Rehab, Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Jan 26, 2009
Last Updated: Jan 19, 2015

Practice Location

Address: 20910 STATE ROUTE 410 E
City: Bonney Lake
State: Washington
ZIP Code: 98391-6302
Phone: (253) 862-2575

Authorized Official

Name: MR. MICHAEL ANDREW EGBERT, PT
Title: PRESIDENT
Phone: (253) 862-2575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist - Orthopedic — Orthopedic	2251X0800X
Occupational Therapist - Hand — Hand	225XH1200X
Occupational Therapist - Physical Rehabilitation — Physical Rehabilitation	225XP0019X
Physical Therapist	225100000X	Primary

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