| NPI | 1063519346 |
|---|---|
| Doing Business As | PHYSIOCARE AT WOODINVILLE |
| Entity Type | Organization |
| Authorized Contact | JERRY LYNN HENDERSON Owner/President 425-402-9772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 602202005) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |