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General NPI Number Information
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NPI Number | 1669265898
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Entity Type | Organization
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Legal Business Name | GATEWAY MOTION PHYSICAL THERAPY AND WELLNESS
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 26477 72ND AVE NW STE 108
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City | STANWOOD
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State | WA
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Zip | 98292-6219
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Country | US
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Telephone | 360-776-9583
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Fax | 360-363-2639
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Provider Business Mailing Address
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Address Line | 26477 72ND AVE NW STE 108
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City | STANWOOD
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State | WA
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Zip | 98292-6219
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Country | US
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Telephone | 360-776-9583
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Fax | 360-363-2639
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Authorized Official
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Title or Position | MAIN PROVIDER
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Name | MARIA CIRILLE PINON
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Credential | DPT
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Telephone | 718-408-0241
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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 |
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License Number State |
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