Organization
COREY M O'MALLEY PT, DPT, PLLC
Active
Organization
COREY M O'MALLEY PT, DPT, PLLC
Active
Other names
Gnome Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY MICHAEL O'MALLEY DPT, SCS, CSCS (OWNER/PHYSICAL THERAPIST)
(425) 307-1335
Entity
Organization
Contact information
Practice address
17306 SMOKEY POINT DR STE 19, ARLINGTON, WA 98223-4707
(425) 307-1335
(425) 307-1422
Mailing address
12707 120TH AVE NE STE 100, KIRKLAND, WA 98034-7500
(480) 201-9227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023524154
NPI FOR COREY O'MALLEY
—
05
—
2094172
—
WA
01
—
PT60819888
WA STATE PT LICENSE
WA
Enumeration date
07/15/2020
Last updated
07/25/2024
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