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NPI 1740912997

NPI 1740912997 : ABBY SUE BURDEN PHYSICAL THERAPY : STANWOOD, WA

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General NPI Number Information
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    NPI Number           |    1740912997
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    Entity Type          |    Individual 
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    Provider Name        |    ABBY SUE BURDEN PHYSICAL THERAPY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/27/2022
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    Last Update Date     |    08/19/2025
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Provider Practice Location Address
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    Address Line         |    9612 270TH ST NW STE 103 
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    City                 |    STANWOOD
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    State                |    WA
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    Zip                  |    98292-1911
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    Country              |    US
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    Telephone            |    360-629-8043
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    Fax                  |    360-629-8053
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Provider Business Mailing Address
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    Address Line         |    9612 270TH ST NW STE 103 
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    City                 |    STANWOOD
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    State                |    WA
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    Zip                  |    98292-1911
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    Country              |    US
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    Telephone            |    360-629-8043
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    PT61256387
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    License Number State |    WA
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