Healthcare Provider Details

I. General information

NPI: 1598032815
Provider Name (Legal Business Name): WASHINGTON THERAPY GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2011
Last Update Date: 12/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 116TH AVE NE STE D-4
BELLEVUE WA
98004-3058
US

IV. Provider business mailing address

PO BOX 2451
WOODINVILLE WA
98072-2451
US

V. Phone/Fax

Practice location:
  • Phone: 888-924-2631
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MIHINDU SENANAYAKE
Title or Position: OWNER/CEO
Credential:
Phone: 888-924-2631