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General NPI Number Information
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NPI Number | 1184996803
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Entity Type | Organization
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Legal Business Name | WAYPOINT PEDIATRIC THERAPIES
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Dates
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Enumeration Date | 01/27/2012
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Last Update Date | 10/14/2016
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Provider Practice Location Address
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Address Line | 22526 SE 64TH PL SUITE 140
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City | ISSAQUAH
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State | WA
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Zip | 98027-5368
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Country | US
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Telephone | 425-830-0028
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Fax |
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Provider Business Mailing Address
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Address Line | 22526 SE 64TH PL SUITE 140
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City | ISSAQUAH
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State | WA
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Zip | 98027-5368
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Country | US
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Telephone | 425-830-0028
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Fax |
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Authorized Official
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Title or Position | OWNER, PEDIATRIC PHYSICAL THERAPIST
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Name | ALLISON A YOCUM
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Credential | PT, DSC, PCS
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Telephone | 425-830-0028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 00008228
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License Number State | WA
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