| NPI | 1528014875 |
|---|---|
| Doing Business As | BIOSPORTS NORTHWEST |
| Entity Type | Organization |
| Authorized Contact | DENIS BRYAN DICKS Co Owner 206-947-8050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT00002943) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-06-17 |