Fair-field Functional Therapy

NPI 1043698624 - Occupational Therapist - 225X00000X

NPI Details
NPI 1043698624
Enumeration Date 05/14/2015
Last Updated 05/14/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name TERESA TERESA
Position OWNER
Phone (425) 558-0558
Fax
Practice Location
2561 152ND AVE NE
REDMOND WA, 98052-5549, US
Phone (425) 558-0558
Fax
Business Location
2561 152ND AVE NE
REDMOND WA, 98052-5549, US
Phone (425) 558-0558
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Washington
License Number OT60552496
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According to our database, Fair-field Functional Therapy NPI is 1043698624, taxonomy code is 225X00000X and license number is OT60552496, license state is located at Washington. Fair-field Functional Therapy physically located at 2561 152nd Ave Ne, Redmond WA, 98052-5549. NPI Number 1033115704 has the healthcare provider type.

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1043698624 NPI number is provided on an as is basis without warranty of any kind. 1043698624 is maintained by the National Plan & Provider Enumeration System. The contents of Fair-field Functional Therapy are for informational purposes only.