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NPI Code Detail

MEDICARE: QUEST PHYSICAL THERAPY, LLC

MEDICARE: QUEST PHYSICAL THERAPY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1053624791
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUEST PHYSICAL THERAPY, LLC
Provider Business Mailing Address
First Line : 5704 E LAKE SAMMAMISH PKWY SE
Second Line : SUITE 101
City : ISSAQUAH
State : WA
Zip : 98029-8941
Country : US
Telephone Number : 425-270-3323
Fax Number : 425-270-3326
Provider Business Practice Location Address
First Line : 5704 E LAKE SAMMAMISH PKWY SE
Second Line : SUITE 101
City : ISSAQUAH
State : WA
Zip : 98029-8941
Country : US
Telephone Number : 425-270-3323
Fax Number : 425-270-3326
Authorized Official
Title or Position : MEMBER/ PHYSICAL THERAPIST
Name : ANTHONY YENGO
Credential : DPT, ATC, OCS, MTC
Telephone Number : 206-818-1398
Provider Enumeration Date : 07/23/2010
Last Update Date : 09/28/2010

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Directions to “QUEST PHYSICAL THERAPY, LLC ” Practice Location

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