Healthcare Provider Details

I. General information

NPI: 1427131887
Provider Name (Legal Business Name): ESPERANZA, A PEDIATRIC THERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 HOLMAN RD NW
SEATTLE WA
98117-2247
US

IV. Provider business mailing address

9200 HOLMAN RD NW
SEATTLE WA
98117-2247
US

V. Phone/Fax

Practice location:
  • Phone: 206-706-3300
  • Fax: 206-706-3350
Mailing address:
  • Phone: 206-706-3300
  • Fax: 206-706-3350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateWA

VIII. Authorized Official

Name: MRS. JENNIFER MESSENGER
Title or Position: PRESIDENT
Credential:
Phone: 206-706-3300