Lopez Island Physical Therapy LLC
Physical Medicine & Rehabilitation in Lopez Island, WA. Organization (NPI-2).
NPI number1982128880
StatusActive
Last updated in NPPESJul 25, 2024
Details
- NPI
- 1982128880
- Entity type
- Organization (NPI-2)
- Legal business name
- Lopez Island Physical Therapy LLC
- Organization subpart
- No
- Enumeration date
- Aug 1, 2017
- Certification date
- Jul 25, 2024
- Last updated
- Jul 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Other names
- Lopez Island Physical Therapy LLC (Doing Business As)
- Lopez Island Physical Therapy, LLC (Former Legal Business Name)
Practice location
192 Lopez RdLopez Island, WA 98261-8290
Phone 360-468-4382 · Fax 360-468-2193
Mailing address
Po Box 881Lopez Island, WA 98261-0881
Phone 360-468-2245 · Fax 360-468-2193
Authorized official
Christina J McCrea
Authorized Official Administrator
3604684382
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