NPI | 1922298629 |
---|---|
Former Legal Business Name | MCLEOD PHYSICAL THERAPY/MASON THURSTON PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | VALERIE MARGARET MCLEOD Sole Proprietor/Physical Therapist 360-275-4352 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT00002351) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT8573) |
Enumeration Date | 2007-07-28 |
Last Update Date | 2008-10-09 |