Provider Demographics
NPI:1376800185
Name:LIZ FALSO THERAPY SERVICES INC.
Entity Type:Organization
Organization Name:LIZ FALSO THERAPY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:FALSO
Authorized Official - Suffix:
Authorized Official - Credentials:OTR L/CHP
Authorized Official - Phone:425-948-7186
Mailing Address - Street 1:12702 35TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-5614
Mailing Address - Country:US
Mailing Address - Phone:425-948-7186
Mailing Address - Fax:425-948-7214
Practice Address - Street 1:12702 35TH AVE SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208
Practice Address - Country:US
Practice Address - Phone:425-948-7186
Practice Address - Fax:425-948-7214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-18
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7683824Medicaid
WA7683824Medicaid
WAGAB07781Medicare PIN