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NPI Code Detail

MEDICARE: MS. MARY B HARNISH DPT

MEDICARE: MS. MARY B HARNISH 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 TherapistPT00008912WA

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 : 1649335563
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY B HARNISH DPT
Provider Business Mailing Address
First Line : 16120 NE 8TH ST
Second Line :
City : BELLEVUE
State : WA
Zip : 98008-3937
Country : US
Telephone Number : 425-747-4004
Fax Number : 425-747-1069
Provider Business Practice Location Address
First Line : 16120 NE 8TH ST
Second Line :
City : BELLEVUE
State : WA
Zip : 98008-3937
Country : US
Telephone Number : 425-747-4004
Fax Number : 425-747-1069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2006
Last Update Date : 11/27/2013

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