Healthcare Provider Details

I. General information

NPI: 1952850083
Provider Name (Legal Business Name): FLUENS CHILDREN'S THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2016
Last Update Date: 02/08/2023
Certification Date: 02/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 70TH AVE W STE E
UNIVERSITY PLACE WA
98466-5430
US

IV. Provider business mailing address

2601 70TH AVE W STE E
UNIVERSITY PLACE WA
98466-5430
US

V. Phone/Fax

Practice location:
  • Phone: 253-212-3502
  • Fax:
Mailing address:
  • Phone: 253-212-3502
  • Fax: 888-972-1827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: JESSICA ABAWAG
Title or Position: OWNER
Credential:
Phone: 253-212-3502