| Pediatric Therapy Center | |
|
1305 Kittitas St Wenatchee WA 98801-3600 | |
| (509) 663-6001 | |
| (509) 662-4562 |
| Full Name | Pediatric Therapy Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1305 Kittitas St, Wenatchee, Washington |
| Authorized Official Name and Position | Blanca Elizabeth Zendejas (BILLING COORDINATOR) |
| Authorized Official Contact | 5096636001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Therapy Center 1305 Kittitas St P O Box 1 Wenatchee WA 98807 Ph: (509) 663-6001 | Pediatric Therapy Center 1305 Kittitas St Wenatchee WA 98801-3600 Ph: (509) 663-6001 |
| NPI Number | 1801933858 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801933858 | NPI | - | NPPES |
| 7017999 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Washington) | Primary |
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