Healthcare Provider Details

I. General information

NPI: 1932380714
Provider Name (Legal Business Name): ABBY EILEEN DILLINGER LMP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2007
Last Update Date: 07/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10564 5TH AVE NE STE 406
SEATTLE WA
98125
US

IV. Provider business mailing address

10564 5TH AVE NE STE 406
SEATTLE WA
98125
US

V. Phone/Fax

Practice location:
  • Phone: 206-362-3344
  • Fax: 206-362-3444
Mailing address:
  • Phone: 206-362-3344
  • Fax: 206-362-3444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License NumberMA00019808
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: