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General NPI Number Information
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NPI Number | 1497944540
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Entity Type | Organization
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Legal Business Name | QUALITY PHYSICAL THERAPY, INC. P.S.
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 05/21/2018
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Provider Practice Location Address
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Address Line | 1838 S BURLINGTON BLVD
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City | BURLINGTON
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State | WA
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Zip | 98233
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Country | US
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Telephone | 360-757-9335
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Fax | 360-757-9886
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Provider Business Mailing Address
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Address Line | 120 E GEORGE HOPPER RD SUITE 220
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City | BURLINGTON
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State | WA
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Zip | 98233-3125
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Country | US
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Telephone | 360-757-9335
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Fax | 360-757-9886
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Authorized Official
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Title or Position | OWNER
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Name | ANN LARSON SPINK
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Credential | P.T.
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Telephone | 360-757-9335
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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 | 602177381
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License Number State | WA
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