Sherri Antonucci, PT | |
3820 S 320th St, Auburn, WA 98001-3115 | |
(253) 227-9356 | |
Not Available |
Full Name | Sherri Antonucci |
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Gender | Female |
Speciality | Physical Therapist |
Location | 3820 S 320th St, Auburn, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447703418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT00005361 (Washington) | Primary |
Provider Name | Wellspring Physical Therapy Services Ps |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891240255 PECOS PAC ID: 8224326657 Enrollment ID: O20161018000470 |
Mailing Address | Practice Location Address |
---|---|
Sherri Antonucci, PT 9706 Taylor St E, Puyallup, WA 98371-1257 Ph: (253) 227-9356 | Sherri Antonucci, PT 3820 S 320th St, Auburn, WA 98001-3115 Ph: (253) 227-9356 |
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