| NPI | 1932224003 |
|---|---|
| Doing Business As | PT4GOLF |
| Entity Type | Organization |
| Authorized Contact | GLENN MARK LIBMAN Owner 425-820-2810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 7490) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |