MEDICARE: SARA VERLIN REID 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
1	225100000X	Physical Therapist	PT60084710	WA

General Provider Information

NPI Number	:	1538392840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA VERLIN REID DPT

Provider Business Mailing Address
First Line	:	8750 GREENWOOD AVE N STE S1
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-3684
Country	:	US
Telephone Number	:	206-782-5789
Fax Number	:	206-782-5794

Provider Business Practice Location Address
First Line	:	8750 GREENWOOD AVE N STE S1
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-3684
Country	:	US
Telephone Number	:	206-782-5789
Fax Number	:	206-782-5794

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2009
Last Update Date	:	09/02/2009

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