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2212 Dublin Drive Nw, Olympia, WA 98502 | |
(360) 259-2445 | |
(360) 252-8349 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 2212 Dublin Drive Nw, Olympia, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235762832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Greg A Harada |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558300194 PECOS PAC ID: 6800788761 Enrollment ID: I20040325001521 |
Provider Name | Michael D Barnett |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578847398 PECOS PAC ID: 3779745989 Enrollment ID: I20120504000473 |
Provider Name | Jeffery Holdener |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174144091 PECOS PAC ID: 4688088354 Enrollment ID: I20210121000999 |
Mailing Address | Practice Location Address |
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1910 East 4th Ave, Pmb 121, Olympia, WA 98506 Ph: (360) 259-2445 | 2212 Dublin Drive Nw, Olympia, WA 98502 Ph: (360) 259-2445 |