| Pacific Kids Pediatric Therapy, Llc | |
|
148 Harborview Drive Bellingham WA 98229 | |
| (360) 393-6210 | |
| Not Available |
| Full Name | Pacific Kids Pediatric Therapy, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 148 Harborview Drive, Bellingham, Washington |
| Authorized Official Name and Position | Shelly Brask (OCCUPATIONAL THERAPIST) |
| Authorized Official Contact | 3603936210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Kids Pediatric Therapy, Llc Po Box 11009 Olympia WA 98508-1009 Ph: (360) 393-6210 | Pacific Kids Pediatric Therapy, Llc 148 Harborview Drive Bellingham WA 98229 Ph: (360) 393-6210 |
| NPI Number | 1962556258 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 07/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962556258 | NPI | - | NPPES |
| 7683923 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OT00002502 (Washington) | Primary |
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