Harbor Physical Therapy | |
4700 Point Fosdick Drive Nw, Suite 213, Gig Harbor, WA 98335 | |
(253) 851-5718 | |
(253) 853-6922 |
Full Name | Harbor Physical Therapy |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 4700 Point Fosdick Drive Nw, Gig Harbor, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609802230 | NPI | - | NPPES |
7095854 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT00002125 (Washington) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | 601283625 (Washington) | Primary |
Provider Name | Micah O Tamminga |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982630638 PECOS PAC ID: 2264464940 Enrollment ID: I20050901000675 |
Provider Name | Emily C Fortner |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396908307 PECOS PAC ID: 0345314084 Enrollment ID: I20080730000111 |
Provider Name | Benjamin Troy Gilkison |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205351483 PECOS PAC ID: 3375818354 Enrollment ID: I20170929003056 |
Provider Name | Amber L Scouller |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003428012 PECOS PAC ID: 2365862232 Enrollment ID: I20201014001323 |
Provider Name | Danielle Annelee Nohelty |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992423966 PECOS PAC ID: 7315323961 Enrollment ID: I20221005000259 |
Provider Name | Anna M Chang |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487431391 PECOS PAC ID: 0648625145 Enrollment ID: I20231018000486 |
Mailing Address | Practice Location Address |
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Harbor Physical Therapy 4700 Point Fosdick Drive Nw, Suite 213, Gig Harbor, WA 98335 Ph: (253) 851-5718 | Harbor Physical Therapy 4700 Point Fosdick Drive Nw, Suite 213, Gig Harbor, WA 98335 Ph: (253) 851-5718 |