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NPI Code Detail

MEDICARE: HARBOR HOME THERAPY & WELLNESS LLC

MEDICARE: HARBOR HOME THERAPY & WELLNESS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center
2261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1023899739
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARBOR HOME THERAPY & WELLNESS LLC
Provider Business Mailing Address
First Line : 708 135TH ST NW
Second Line :
City : GIG HARBOR
State : WA
Zip : 98332-7638
Country : US
Telephone Number : 402-721-9662
Fax Number :
Provider Business Practice Location Address
First Line : 708 135TH ST NW
Second Line :
City : GIG HARBOR
State : WA
Zip : 98332-7638
Country : US
Telephone Number : 402-721-9662
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : MICHAEL J KUBIK
Credential : PT
Telephone Number : 402-721-9662
Provider Enumeration Date : 10/09/2023
Last Update Date : 11/04/2023

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Directions to “HARBOR HOME THERAPY & WELLNESS LLC ” Practice Location

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