| Pediatric Pt & Ot Services | |
|
20310 19th Ave Ne Shoreline WA 98155-1261 | |
| (206) 367-5853 | |
| Not Available |
| Full Name | Pediatric Pt & Ot Services |
|---|---|
| Speciality | Clinic/center - Physical Therapy |
| Location | 20310 19th Ave Ne, Shoreline, Washington |
| Authorized Official Name and Position | Gregory L White (MEMBER) |
| Authorized Official Contact | 2063675853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Pt & Ot Services 20310 19th Ave Ne Shoreline WA 98155-1261 Ph: (206) 367-5853 | Pediatric Pt & Ot Services 20310 19th Ave Ne Shoreline WA 98155-1261 Ph: (206) 367-5853 |
| NPI Number | 1356415756 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356415756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
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