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General NPI Number Information
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NPI Number | 1730491259
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Entity Type | Organization
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Legal Business Name | BACK TO WORK PREVENTION & PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 07/13/2010
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Last Update Date | 09/18/2017
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Provider Practice Location Address
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Address Line | 5620 RAINIER AVE S STE 102
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City | SEATTLE
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State | WA
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Zip | 98118-2498
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Country | US
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Telephone | 206-535-8061
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Fax |
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Provider Business Mailing Address
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Address Line | 5620 RAINIER AVE S SUITE #102
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City | SEATTLE
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State | WA
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Zip | 98118-1918
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Country | US
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Telephone | 206-535-8061
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. ERIK NORWOOD
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Credential | PT
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Telephone | 206-501-6635
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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 | PT00008773
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License Number State | WA
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