Provider Demographics
NPI:1427397348
Name:REDMOND RIDGE PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:REDMOND RIDGE PHYSICAL THERAPY PLLC
Other - Org Name:DUVALL PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:14110 MAIN ST NE STE A
Mailing Address - Street 2:
Mailing Address - City:DUVALL
Mailing Address - State:WA
Mailing Address - Zip Code:98019-8475
Mailing Address - Country:US
Mailing Address - Phone:425-429-7278
Mailing Address - Fax:425-341-9035
Practice Address - Street 1:14110 MAIN ST NE
Practice Address - Street 2:SUITE A
Practice Address - City:DUVALL
Practice Address - State:WA
Practice Address - Zip Code:98019-8475
Practice Address - Country:US
Practice Address - Phone:425-429-7278
Practice Address - Fax:425-341-9035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-13
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy