| NPI | 1306919469 |
|---|---|
| Former Legal Business Name | MERCER ISLAND PHYSICAL THERAPY, PLLC |
| Other Name | RET PHYSICAL THERAPY & HEALTHCARE SPECIALISTS |
| Other Name | MERCER ISLAND PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DWAN DIAZ Credentialing Coordinator 813-560-8157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 225100000X Physical Therapist |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2022-11-30 |