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General NPI Number Information
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NPI Number | 1487786448
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Entity Type | Organization
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Legal Business Name | SOUND PHYSICAL THERAPY
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3823 DELRIDGE WAY SW
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City | SEATTLE
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State | WA
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Zip | 98106-1133
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Country | US
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Telephone | 206-301-0600
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Fax | 206-301-0601
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Provider Business Mailing Address
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Address Line | 3823 DELRIDGE WAY SW
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City | SEATTLE
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State | WA
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Zip | 98106-1133
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Country | US
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Telephone | 206-301-0600
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Fax | 206-301-0601
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Authorized Official
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Title or Position | CO-OWNER, PRESIDENT
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Name | BRENDA JEAN MATTER
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Credential | PT
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Telephone | 206-301-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | WA
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