| NPI | 1528579885 |
|---|---|
| Doing Business As | ORTHOSPORT, LLC |
| Doing Business As | ORTHOSPORT PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DWAN AYALA Credentialing Coordinator 425-450-9474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 225X00000X Occupational Therapist | |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2020-10-27 |