| |
2225 Riverside Dr, Mt Vernon, WA 98273-5403 | |
(360) 424-6226 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 2225 Riverside Dr, Mt Vernon, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285827816 | NPI | - | NPPES |
G8869136 | Other | WA | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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25117 Sw Parkway Ave, Ste D, Wilsonville, OR 97070-9697 Ph: (503) 783-2491 | 2225 Riverside Dr, Mt Vernon, WA 98273-5403 Ph: (360) 424-6226 |
Ms. Heidi Shirene Sanford, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 Main St, Suite A1, Mt Vernon, WA 98273 Phone: 360-336-3432 Fax: 360-336-3492 |