Healthcare Provider Details

I. General information

NPI: 1881780898
Provider Name (Legal Business Name): MARGARET A. OBLANDER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET A. D'ARCHE PT

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 11/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 NW GILMAN BLVD SUITE A
ISSAQUAH WA
98027-2445
US

IV. Provider business mailing address

720 OLIVE WAY SUITE 1505
SEATTLE WA
98101-1878
US

V. Phone/Fax

Practice location:
  • Phone: 425-313-3055
  • Fax: 425-313-3051
Mailing address:
  • Phone: 206-838-2590
  • Fax: 206-264-8689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT00003978
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: