Individual
GINA SENKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
21806 103RD AVENUE CT E, STE 103, GRAHAM, WA 98338-8115
(253) 847-3700
(425) 378-8168
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
J1-0002362
DE
225100000X
Physical Therapist
Primary
PT00009614
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023188257
DPCI
DE
05
—
1023188257
—
DE
01
—
141191ZB82
MEDICARE
DE
01
—
1522SE
REGENCE BLUE SHIELD
WA
01
—
193035
DEPT OF LABOR & INDUSTRY
WA
01
—
3739248000
IBC
DE
05
—
8414096
—
WA
01
—
8939817
CRIME VICTIMS
WA
01
—
P00288108
RAILROAD MEDICARE
WA
01
—
P00692898
RAILROAD MEDICARE
DE
01
—
P00692898
RAILROAD MEDICARE
—
Enumeration date
11/08/2006
Last updated
06/06/2015
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