Provider First Line Business Practice Location Address:
4250 MARTIN WAY EAST, SUITE 105
Provider Second Line Business Practice Location Address:
TAI - OLYMPIA PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
OLYMPIA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98516-5317
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-486-0640
Provider Business Practice Location Address Fax Number:
360-486-0641
Provider Enumeration Date:
07/12/2006