Organization
VASHON PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN NELL KLEYN PT (SOLEPROPRIETER)
(206) 463-3441
Entity
Organization
Contact information
Practice address
17429 VASHON HWY. SW, VASHON, WA 98070
(206) 463-3441
(206) 463-3089
Mailing address
PO BOX 2189, VASHON, WA 98070-2189
(206) 463-3441
(206) 463-3089
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT00001022
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8340291
—
WA
01
—
DF2398
RAILROAD MEDICARE
WA
Enumeration date
05/07/2007
Last updated
12/11/2007
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