Provider Demographics
NPI:1013408384
Name:PHILBIN, LIANNA JEANNE (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:LIANNA
Middle Name:JEANNE
Last Name:PHILBIN
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6559 LONG LAKE DR
Mailing Address - Street 2:
Mailing Address - City:NINE MILE FALLS
Mailing Address - State:WA
Mailing Address - Zip Code:99026-9543
Mailing Address - Country:US
Mailing Address - Phone:425-422-9277
Mailing Address - Fax:
Practice Address - Street 1:1812 N WALL ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-4600
Practice Address - Country:US
Practice Address - Phone:509-328-6030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-23
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA7619225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist