| NPI | 1801989587 |
|---|---|
| Other Name | PROVIDENCE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Corp Secretary Dir Reimb Admin 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2024-09-20 |