Organization Name: | SAMMAMISH PHYSICAL THERAPY, INC. |
NPI Number: | 1215120456 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GARY WILLIAM HOPE (PRESIDENT) |
Mailing Address: | 22840 Ne 8th Street Suite 102 Sammamish |
State: | WA US |
Postal Code: | 980747263 |
Phone Number: | 4258988540 |
Fax Number: | 4258981570 |
NPI Enumeration Date: | 08/21/2007 |
NPI Last Update Date: | 04/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 602354125 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |