| NPI | 1366093627 |
|---|---|
| Doing Business As | NORTHWEST SPORT & SPINE PHYSICAL THERAPY- MOUNT VERNON |
| Entity Type | Organization |
| Authorized Contact | DANIELLE KELLY Credentialing Coordinator 425-316-8046 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |