Organization
UNIVERSITY OF WASHINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARNI L WILSON P.T.A. (PHYSICAL THERAPIST ASSISTANT)
(206) 598-2889
Entity
Organization
Contact information
Practice address
4245 ROOSEVELT WAY NE, UWMC-ROOSEVELT 2, 2ND FLOOR, SEATTLE, WA 98195
(206) 598-2889
Mailing address
750 N. 143RD ST., UNIT# 204, SEATTLE, WA 98133
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
P160063061
WA
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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