Organization Name: | LAKE BURIEN PHYSICAL THERAPY |
NPI Number: | 1053545319 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ORIT STEPHANIE HICKMAN (DOCTOR OF PHYSICAL THERAPY) |
Mailing Address: | 15811 Ambaum Blvd Sw Suite 140 Burien |
State: | WA US |
Postal Code: | 981663066 |
Phone Number: | 2063279880 |
Fax Number: | 2063279977 |
NPI Enumeration Date: | 05/14/2009 |
NPI Last Update Date: | 11/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 00010537 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |