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General NPI Number Information
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NPI Number | 1255870671
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Entity Type | Organization
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Legal Business Name | TOTEM PHYSICAL THERAPY PS
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Dates
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Enumeration Date | 02/17/2017
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Last Update Date | 04/26/2017
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Provider Practice Location Address
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Address Line | 1802 S. UNION AVE SUITE 100
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City | TACOMA
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State | WA
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Zip | 98405-1950
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Country | US
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Telephone | 253-759-1310
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Fax | 253-759-1330
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Provider Business Mailing Address
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Address Line | 1802 S. UNION AVE SUITE 100
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City | TACOMA
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State | WA
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Zip | 98405-1950
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Country | US
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Telephone | 253-759-1310
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Fax | 253-759-1330
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Authorized Official
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Title or Position | OWNER
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Name | SARAH KATHLEEN RAY
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Credential | P.T.
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Telephone | 253-759-1310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 6719
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License Number State | WA
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