Healthcare Provider Details

I. General information

NPI: 1730381898
Provider Name (Legal Business Name): ANN RITSUKO ZWEIGLE P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANN RITSUKO MURAKAMI P.T.

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25022 - 104TH AVENUE SE, SUITE B
KENT WA
98030-2822
US

IV. Provider business mailing address

11018 SE 270TH STREET
KENT WA
98030-7214
US

V. Phone/Fax

Practice location:
  • Phone: 253-856-0677
  • Fax:
Mailing address:
  • Phone: 253-859-0145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251C2600X
TaxonomyCardiopulmonary Physical Therapist
License NumberPT00002198
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: