Organization Name: | NORTHWEST HAND THERAPY LLC |
NPI Number: | 1285656256 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN D LOUIE (OWNER) |
Mailing Address: | 2820 Griffin Ave Ste 110 Enumclaw |
State: | WA US |
Postal Code: | 980222373 |
Phone Number: | 3608026838 |
Fax Number: | 3608026839 |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 05/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | OT00002354 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |