MEDICARE: MARGARET ROYCE PHYSICAL THERAPY LLC

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
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1982344479
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARGARET ROYCE PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	PO BOX 1094
Second Line	:
City	:	VAUGHN
State	:	WA
Zip	:	98394-1094
Country	:	US
Telephone Number	:	425-218-4104
Fax Number	:	855-221-3655

Provider Business Practice Location Address
First Line	:	16818 156TH ST NW
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98329-5657
Country	:	US
Telephone Number	:	425-218-4104
Fax Number	:	855-221-3655

Authorized Official
Title or Position	:	OWNER
Name	:	MARGARET ROYCE
Credential	:	PT
Telephone Number	:	425-218-4104

Provider Enumeration Date	:	03/31/2022
Last Update Date	:	04/22/2022

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