Organization
THERAPY MANAGEMENT SERVICES, PLLC
Active
Other names
Washington Hand Therapy - Renton, Renton Hand and Physical Therapy, LLC, Renton Sports & Spine Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DWAN AYALA (CREDENTIALING COORDINATOR)
(425) 450-9474
Entity
Organization
Contact information
Practice address
19400 108TH AVE SE STE 100, KENT, WA 98031-0108
(425) 917-9887
(253) 277-0739
Mailing address
915 118TH AVE SE STE 110, BELLEVUE, WA 98005-3875
(425) 450-9474
(425) 452-0704
Taxonomy
Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
01/06/2020
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