Unknown Individual – Physical Therapist, NPI 1891200291
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
15, Southeast Birch Avenue, College Place, Walla Walla County, Washington, 99324, United States
COLLEGE PLACE, WA 993241160
Phone: (509) 301-2058
Type: Mailing
1313, North 13th Avenue, Walla Walla, Walla Walla County, Washington, 99362-5024, United States
WALLA WALLA, WA 993628817
Phone: (509) 525-3610
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99324)
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