Organization
EVERETT PHYSICAL THERAPY AND SPORT PERFORMANCE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BINSTEIN (VP/AUTHORIZED OFFICIAL)
(713) 297-7052
Entity
Organization
Contact information
Practice address
2000 HEWITT AVE, #115, EVERETT, WA 98201
(425) 252-3908
(425) 252-7940
Mailing address
2000 HEWITT AVE STE 115, EVERETT, WA 98201-3600
(425) 252-3908
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0179003
DEPT. OF LABOR & INDUSTRY
WA
01
—
2029657-00
OWCP
WA
01
—
4702EV
REGENCE BLUESHIELD GRP #
WA
05
—
7121858
—
WA
01
—
8931865
L&I CRIME VICTIMS
WA
05
—
9054974
—
WA
Enumeration date
06/03/2006
Last updated
03/05/2020
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