Doctor Name: | MARIA NABIL HENRY |
NPI Number: | 1306167549 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSCPT |
License Number: | PT00010311 |
Business Practice Address: | 4603 219th St Sw Mountlake Terrace, WA - 980433609 |
Business Phone Number: | 4257759892 |
Business Fax Number: | |
Mailing Address: | 4603 219th St Sw, MOUNTLAKE TERRACE |
State: | WA |
Postal Code: | 980433609 |
Phone Number: | 4257759892 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2010 |
NPI Last Update Date: | 06/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | PT00010311 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |