MEDICARE: HARADA PHYSICAL THERAPY & REHAB SERVICES INC., P.S.

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
1	225100000X	Physical Therapist	PT00002355	WA

General Provider Information

NPI Number	:	1629066717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARADA PHYSICAL THERAPY & REHAB SERVICES INC., P.S.

Provider Business Mailing Address
First Line	:	31955 STATE ROUTE 20
Second Line	:
City	:	OAK HARBOR
State	:	WA
Zip	:	98277-5211
Country	:	US
Telephone Number	:	360-679-8600
Fax Number	:	360-679-8554

Provider Business Practice Location Address
First Line	:	31955 STATE ROUTE 20
Second Line	:
City	:	OAK HARBOR
State	:	WA
Zip	:	98277-5211
Country	:	US
Telephone Number	:	360-679-8600
Fax Number	:	360-679-8554

Authorized Official
Title or Position	:	PHYSICAL THERAPIST OWNER
Name	:	MR. ERICK K HARADA
Credential	:	PT
Telephone Number	:	360-679-8600

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	07/02/2021

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