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NPI Code Detail

MEDICARE: MRS. BINIE A THOMAS PT

MEDICARE:  MRS. BINIE A THOMAS  PT
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
1225100000XPhysical Therapist1154180TX
2225100000XPhysical TherapistPT60789915WA

General Provider Information

NPI Number : 1417936881
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BINIE A THOMAS PT
Provider Business Mailing Address
First Line : 915 118TH AVE SE STE 110
Second Line :
City : BELLEVUE
State : WA
Zip : 98005-3875
Country : US
Telephone Number : 425-450-9474
Fax Number : 425-452-0704
Provider Business Practice Location Address
First Line : 400 MAIN AVE S
Second Line :
City : NORTH BEND
State : WA
Zip : 98045
Country : US
Telephone Number : 425-888-1156
Fax Number : 425-888-6167
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 10/02/2019

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Directions to “ MRS. BINIE A THOMAS PT” Practice Location

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