| |
7315 212th St Sw Ste 104, Edmonds, WA 98026-7610 | |
(425) 774-3226 | |
(425) 670-1406 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 7315 212th St Sw Ste 104, Edmonds, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972537926 | NPI | - | NPPES |
8933872 | Other | WA | L&I CRIME VICTIMS |
0174880 | Other | WA | DEPT. OF LABOR & INDUSTRY |
3791726-02 | Other | WA | OWCP |
7682230 | Medicaid | WA | |
9055039 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
4220 132nd St Se, Suite101, Mill Creek, WA 98012-8999 Ph: (425) 316-8046 | 7315 212th St Sw Ste 104, Edmonds, WA 98026-7610 Ph: (425) 774-3226 |