Provider Demographics
NPI:1437334810
Name:ISLANDERS PHYSICAL THERAPY AND REHABILITATION, INC.
Entity Type:Organization
Organization Name:ISLANDERS PHYSICAL THERAPY AND REHABILITATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:THOMSON
Authorized Official - Suffix:
Authorized Official - Credentials:RPT,MBA
Authorized Official - Phone:360-370-5226
Mailing Address - Street 1:849 SPRING ST STE 1
Mailing Address - Street 2:
Mailing Address - City:FRIDAY HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98250-9376
Mailing Address - Country:US
Mailing Address - Phone:360-370-5226
Mailing Address - Fax:360-370-5559
Practice Address - Street 1:849 SPRING ST STE 1
Practice Address - Street 2:
Practice Address - City:FRIDAY HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98250-9376
Practice Address - Country:US
Practice Address - Phone:360-370-5226
Practice Address - Fax:360-370-5559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation