| NPI | 1053545319 |
|---|---|
| Former Legal Business Name | LAKE BURIEN PHYSICAL THERAPY, INC |
| Entity Type | Organization |
| Authorized Contact | ORIT STEPHANIE HICKMAN Doctor Of Physical Therapy 206-327-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 00010537) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2023-08-18 |