Organization
IMPACT PHYSICAL THERAPY, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY MITRANO (OWNER-IMPACT PHYSICAL THERAPY, P.S.)
(425) 778-2325
Entity
Organization
Contact information
Practice address
6101 200TH ST SW STE 208, LYNNWOOD, WA 98036-6077
(425) 778-2325
(425) 778-7692
Mailing address
6101 200TH ST SW STE 208, LYNNWOOD, WA 98036-6077
(425) 778-2325
(425) 778-7692
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008381
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173816
L&I
WA
01
—
1905229
FIRST HEALTH
WA
Enumeration date
11/08/2006
Last updated
07/23/2008
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