NPI | 1578526638 |
---|---|
Doing Business As | STAR PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | JOHN P PETRINOVICH Owner 253-272-6910 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 602507009) |
Enumeration Date | 2006-04-10 |
Last Update Date | 2008-10-20 |