| |
11700 Mukilteo Speedway, Suite 503, Mukilteo, WA 98275-5432 | |
(425) 349-9692 | |
(425) 349-9694 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 11700 Mukilteo Speedway, Mukilteo, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871527820 | NPI | - | NPPES |
3791726-10 | Other | WA | OWCP |
0181123 | Other | WA | DEPT. OF LABOR & INDUSTRY |
7083322 | Medicaid | WA | |
9055039 | Medicaid | WA | |
8930832 | Other | WA | L&I CRIME VICTIMS |
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, Suite 101, Mill Creek, WA 98012-8999 Ph: (425) 316-8046 | 11700 Mukilteo Speedway, Suite 503, Mukilteo, WA 98275-5432 Ph: (425) 349-9692 |