| NPI | 1578935128 |
|---|---|
| Doing Business As | DUPONT PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | SHIRLEY ANN PROVOZNIK VP Operations 360-338-0181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2021-03-15 |