Source Physical Therapy Llc

LBN: Source Physical Therapy Llc
Source Physical Therapy Llc is an health care organization with primary practice located at 6659 Kimball Dr Suite A101, Gig Harbor WA 98335-5137. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Source Physical Therapy Llc can be contacted via phone (253) 857-4870, or through Carnahan, Dana via phone (253) 857-4870.

Contact Information

Primary practice address
6659 Kimball Dr Suite A101 Gig Harbor WA 98335-5137
Phone: (253) 857-4870
Fax: (253) 857-4876
Website:
Map and Directions
Authorized official contact:
Name: Carnahan, Dana Physical Therapist (PT)
Phone: (253) 857-4870

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 602296233 Washington

Profile Details

NPI number 1962593871
LBN Legal business name Source Physical Therapy Llc
DBA Doing business as
Authorized official Carnahan, Dana Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Sep 30th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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