Provider Demographics
NPI:1548850712
Name:BILO, EVA (DPT)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:BILO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 WOODLAND PARK AVE N STE 100
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-7943
Mailing Address - Country:US
Mailing Address - Phone:206-284-2396
Mailing Address - Fax:206-547-9286
Practice Address - Street 1:3800 WOODLAND PARK AVE N STE 100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-7943
Practice Address - Country:US
Practice Address - Phone:206-284-2396
Practice Address - Fax:206-547-9286
Is Sole Proprietor?:No
Enumeration Date:2021-01-21
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT61122895225100000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation