| Organization Name: | PHYSIOTHERAPY ASSOCIATE INC |
| NPI Number: | 1073876595 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAYNE F POOL (CHIEF COMPLIANCE OFFICER) |
| Mailing Address: | 1301 4th Ave Nw Suite 300 Issaquah |
| State: | WA US |
| Postal Code: | 980279371 |
| Phone Number: | 4253920617 |
| Fax Number: | 4253922203 |
| NPI Enumeration Date: | 06/19/2012 |
| NPI Last Update Date: | 03/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |