Provider Demographics
NPI:1275080301
Name:ABC PHYSICAL THERAPY
Entity Type:Organization
Organization Name:ABC PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELANEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-564-2220
Mailing Address - Street 1:3309 56TH ST NW
Mailing Address - Street 2:SUITE 103
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-8572
Mailing Address - Country:US
Mailing Address - Phone:253-564-2220
Mailing Address - Fax:253-564-2221
Practice Address - Street 1:3309 56TH ST NW
Practice Address - Street 2:SUITE 103
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-8572
Practice Address - Country:US
Practice Address - Phone:253-564-2220
Practice Address - Fax:253-564-2221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy