Organization
RENAISSANCE PHYSICAL THERAPY, NW, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY CUNNINGHAM (CORPORATE SECRETARY)
(425) 482-9189
Entity
Organization
Contact information
Practice address
20214 BALLINGER WAY NE, B2, SHORELINE, WA 98155-1144
(206) 361-2225
(206) 364-6556
Mailing address
20250 144TH AVE NE, 305, WOODINVILLE, WA 98072-4457
(425) 482-9189
(425) 481-2998
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
WA
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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