| NPI | 1982755070 |
|---|---|
| Doing Business As | NORTHWEST SPORTS PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | THOMAS BRYAN J. BARGANIER CFO 205-536-7602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00003074) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT00000768) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2022-05-18 |