| NPI | 1295207983 |
|---|---|
| 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 | 225X00000X Occupational Therapist |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2019-06-21 |