| NPI | 1265091854 |
|---|---|
| Doing Business As | UNIVERSITY PLACE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DWAN DIAZ Credentialing Coordinator 425-450-9474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-08-01 |