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Organization
NORTHWEST PEDIATRIC THERAPIES, PS
Active
Organization
NORTHWEST PEDIATRIC THERAPIES, PS
Active
Other names
Priscilla A Coyner
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PRISCILLA A COYNER MASTERS OF PT, PCS (PRESIDENT)
(425) 392-7989
Entity
Organization
Contact information
Practice address
710 NW JUNIPER ST, SUITE 104, ISSAQUAH, WA 98027-2717
(425) 392-7989
(425) 391-2554
Mailing address
710 NW JUNIPER ST, SUITE 104, ISSAQUAH, WA 98027-2717
(425) 392-7989
(425) 391-2554
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002750
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7038037
—
WA
01
—
CO2118
REGENCE PROVIDER NUMBER
WA
Enumeration date
01/03/2007
Last updated
08/22/2020
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