| NPI | 1962927632 |
|---|---|
| Doing Business As | SOUTH LAKE UNION PHYSICAL THERAPY, LLC |
| Doing Business As | SOUTH LAKE UNION PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DWAN DIAZ Credentialing Coordinator 425-450-9474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2019-04-09 |