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NPI Code Detail

MEDICARE: CENTRAL PHYSICAL THERAPY AND FITNESS, P.S.C.

MEDICARE: CENTRAL PHYSICAL THERAPY AND FITNESS, P.S.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1183442OTHERWALABOR & INDUSTRIES GRP #

General Provider Information

NPI Number : 1659346153
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL PHYSICAL THERAPY AND FITNESS, P.S.C.
Provider Business Mailing Address
First Line : 1917 FIR ST
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-3515
Country : US
Telephone Number : 206-860-3746
Fax Number : 360-344-2248
Provider Business Practice Location Address
First Line : 1917 FIR ST
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-3515
Country : US
Telephone Number : 206-860-3746
Fax Number :
Authorized Official
Title or Position : BUSINESS MGR AND SEC TREAS OF CORP
Name : DEBORAH M SCHAACK
Credential :
Telephone Number : 206-860-3746
Provider Enumeration Date : 02/20/2006
Last Update Date : 12/14/2021

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Directions to “CENTRAL PHYSICAL THERAPY AND FITNESS, P.S.C. ” Practice Location

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