Provider Demographics
NPI:1083880561
Name:MABINI, ANGELITO ANCHETA (MSPT)
Entity Type:Individual
Prefix:
First Name:ANGELITO
Middle Name:ANCHETA
Last Name:MABINI
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:ANGEL
Other - Middle Name:ANCHETA
Other - Last Name:MABINI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSPT
Mailing Address - Street 1:5322 ORCHARD ST W
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98467-3633
Mailing Address - Country:US
Mailing Address - Phone:253-988-4116
Mailing Address - Fax:
Practice Address - Street 1:5322 ORCHARD ST W
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98467-3633
Practice Address - Country:US
Practice Address - Phone:253-476-3333
Practice Address - Fax:253-476-3334
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00010437225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist