| Organization Name: | SKAGIT ISLAND REHABILITATION GROUP |
| NPI Number: | 1780919548 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREGORY EUGENE FRITZ (OWNER/P.T.) |
| Mailing Address: | 117 N 1st St Suite 4 Mount Vernon |
| State: | WA US |
| Postal Code: | 982732859 |
| Phone Number: | 3603363838 |
| Fax Number: | 3603363880 |
| NPI Enumeration Date: | 10/13/2009 |
| NPI Last Update Date: | 10/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00003585 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |