Healthcare Provider Details

I. General information

NPI: 1295561462
Provider Name (Legal Business Name): JANINE HUANG DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANINE SING DPT

II. Dates (important events)

Enumeration Date: 09/12/2024
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13555 SE 36TH ST STE 100
BELLEVUE WA
98006-1456
US

IV. Provider business mailing address

13555 SE 36TH ST STE 100
BELLEVUE WA
98006-1456
US

V. Phone/Fax

Practice location:
  • Phone: 866-839-6979
  • Fax:
Mailing address:
  • Phone: 866-839-6979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT60181717
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: