Provider Demographics
NPI:1659626034
Name:SUNDVALL, QUINN E (DPT)
Entity Type:Individual
Prefix:
First Name:QUINN
Middle Name:E
Last Name:SUNDVALL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:QUINN
Other - Middle Name:E
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:11711 NE 12TH ST
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005
Mailing Address - Country:US
Mailing Address - Phone:425-450-9474
Mailing Address - Fax:425-452-0704
Practice Address - Street 1:6520 226TH PL SE
Practice Address - Street 2:SUITE 201
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027
Practice Address - Country:US
Practice Address - Phone:425-391-5504
Practice Address - Fax:425-391-3670
Is Sole Proprietor?:No
Enumeration Date:2012-07-20
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60278048225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist