Organization
CORPORE SANO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK MOEN PT (OWNER)
(425) 482-2453
Entity
Organization
Contact information
Practice address
6161 NE 175TH ST, STE 203, KENMORE, WA 98028-4800
(425) 482-2453
(425) 482-2452
Mailing address
6161 NE 175TH ST, STE 203, KENMORE, WA 98028-4800
(425) 482-2453
(425) 482-2452
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5791
WA
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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