Healthcare Provider Details

I. General information

NPI: 1205875150
Provider Name (Legal Business Name): HIGHLINE HAND THERAPY DBA SOUTHWEST HAND THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 12/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4621 35TH AVE SW STE. A
SEATTLE WA
98126-2707
US

IV. Provider business mailing address

275 SW 160TH ST STE.201
BURIEN WA
98166-3003
US

V. Phone/Fax

Practice location:
  • Phone: 206-935-1215
  • Fax: 206-935-0207
Mailing address:
  • Phone: 206-244-4263
  • Fax: 206-244-8703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License Number
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number StateWA

VIII. Authorized Official

Name: MS. LYNNE WOLF
Title or Position: VICE PRESISENTCLINICAL SUPERVISOR
Credential: OTR,L,CHT
Phone: 206-244-4263