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NPI Code Detail

MEDICARE: MRS. MONIKA TIMKA DALKIN PT

MEDICARE: MRS. MONIKA TIMKA DALKIN PT
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 Therapist2054AZ
2225100000XPhysical TherapistPT60058054WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306843933
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MONIKA TIMKA DALKIN PT
Provider Business Mailing Address
First Line : 16083 SW UPPER BOONES FERRY RD
Second Line : SUITE 300
City : TIGARD
State : OR
Zip : 97224-7736
Country : US
Telephone Number : 800-219-8835
Fax Number : 503-639-9699
Provider Business Practice Location Address
First Line : 4701 41ST AVE SW
Second Line : STE 100
City : SEATTLE
State : WA
Zip : 98116-4597
Country : US
Telephone Number : 206-932-8363
Fax Number : 206-932-4973
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 11/02/2012

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Directions to “ MRS. MONIKA TIMKA DALKIN PT” Practice Location

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