NPI | 1154404531 |
---|---|
Doing Business As | NORTHGATE PHYSICAL AND SPORTS THERAPY |
Entity Type | Organization |
Authorized Contact | WILLIAM JOSEPH CARRIVEAU Physical Therapist/Owner 206-367-6744 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2006-10-22 |
Last Update Date | 2008-06-17 |