| |
295804 Hwy 101, Suite #5, Quilcene, WA 98376 | |
(360) 765-0888 | |
(360) 765-0889 |
Full Name | |
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Type | Facility |
Speciality | Physical Therapist |
Location | 295804 Hwy 101, Quilcene, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578771135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Shauna M Woodmansee-coleman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225190648 PECOS PAC ID: 3971574559 Enrollment ID: I20040805000842 |
Mailing Address | Practice Location Address |
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Po Box 726, Quilcene, WA 98376-0726 Ph: (360) 765-0888 | 295804 Hwy 101, Suite #5, Quilcene, WA 98376 Ph: (360) 765-0888 |
Shauna Woodmansee-coleman, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 295804 Hwy 101, Suite #5, Quilcene, WA 98376 Phone: 360-765-0888 Fax: 360-765-0889 |