Healthcare Provider Details

I. General information

NPI: 1235335233
Provider Name (Legal Business Name): JOAN AUSTIN GELINAS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5044 38TH AVE NE
SEATTLE WA
98105
US

IV. Provider business mailing address

5044 38TH AVE NE
SEATTLE WA
98105
US

V. Phone/Fax

Practice location:
  • Phone: 206-528-5692
  • Fax: 206-528-0044
Mailing address:
  • Phone: 206-528-5692
  • Fax: 206-528-0044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT00002479
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: