Provider First Line Business Practice Location Address:
PROVIDENCE MEDICAL GROUP PHYSICAL THERAPY
Provider Second Line Business Practice Location Address:
4730 COLBY AVE, SUITE 220
Provider Business Practice Location Address City Name:
EVERETT
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98203-2927
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-297-6888
Provider Business Practice Location Address Fax Number:
425-294-6889
Provider Enumeration Date:
04/08/2016