Provider Demographics
NPI:1578324224
Name:ESQUINASI, CYNTHIA FAYE
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:FAYE
Last Name:ESQUINASI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:FAYE
Other - Last Name:WOODEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1618 6TH AVE W
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-2917
Mailing Address - Country:US
Mailing Address - Phone:425-563-8152
Mailing Address - Fax:
Practice Address - Street 1:1618 6TH AVE W
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-2917
Practice Address - Country:US
Practice Address - Phone:425-563-8152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00006564225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist