MOUNTLAKE SPORTS & PHYSICAL THERAPY PS

EVERETT, WA
NPI1528331402
Entity TypeOrganization
Authorized ContactJAMIE MALIJAN
Clinical Manager
425-379-8120
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT00003917)
Additional Taxonomies225100000X Physical Therapist
(Licence: WA  PT60178380)
225700000X Massage Therapist
(Licence: WA  MA00018299)
225700000X Massage Therapist
(Licence: WA  MA00015079)
Enumeration Date2012-02-22
Last Update Date2012-02-22
Business Address
MOUNTLAKE SPORTS & PHYSICAL THERAPY PS
9505 19TH AVE SE 101
EVERETT, WA 98208-3853
Phone number: 425-379-8120
Mailing Address
MOUNTLAKE SPORTS & PHYSICAL THERAPY PS
9505 19TH AVE SE 101
EVERETT, WA 98208-3853
Phone number: 425-379-8120