| |
22620 Se 4th Street, Suite 240, Sammamish, WA 98074 | |
(425) 200-0054 | |
(425) 636-3272 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 22620 Se 4th Street, Sammamish, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043745086 | NPI | - | NPPES |
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 | 22620 Se 4th Street, Suite 240, Sammamish, WA 98074 Ph: (425) 200-0054 |