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NPI Code Detail

MEDICARE: MRS. ELIZABETH B SPINRAD DPT

MEDICARE: MRS. ELIZABETH B SPINRAD DPT
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 TherapistPT60088819WA

General Provider Information

NPI Number : 1417281874
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH B SPINRAD DPT
Provider Business Mailing Address
First Line : 5518 35TH AVE NE
Second Line :
City : SEATTLE
State : WA
Zip : 98105-2312
Country : US
Telephone Number : 206-898-1453
Fax Number :
Provider Business Practice Location Address
First Line : 5025 25TH AVE NE
Second Line : SUITE 201
City : SEATTLE
State : WA
Zip : 98105-4151
Country : US
Telephone Number : 206-524-6702
Fax Number : 206-524-6703
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2009
Last Update Date : 11/19/2010

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Directions to “ MRS. ELIZABETH B SPINRAD DPT” Practice Location

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