Provider Demographics
NPI:1245696814
Name:SNOHOMISH PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:SNOHOMISH PHYSICAL THERAPY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:22910 BOTHELL EVERETT HWY STE 107
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-9327
Mailing Address - Country:US
Mailing Address - Phone:425-686-7656
Mailing Address - Fax:425-341-9054
Practice Address - Street 1:22910 BOTHELL EVERETT HWY
Practice Address - Street 2:SUITE 107
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-9327
Practice Address - Country:US
Practice Address - Phone:425-686-7656
Practice Address - Fax:425-341-9054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-12
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA225100000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty