Provider First Line Business Practice Location Address:
516 176TH ST E
Provider Second Line Business Practice Location Address:
SPECIAL SERVICES- PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
SPANAWAY
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98387
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-840-6120
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/06/2019