Provider Demographics
NPI:1790981777
Name:FLEMING, ANN M (DPT)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:FLEMING
Suffix:
Gender:F
Credentials:DPT
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Mailing Address - Street 1:805 MADISON ST
Mailing Address - Street 2:SUITE 901
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1172
Mailing Address - Country:US
Mailing Address - Phone:206-264-8100
Mailing Address - Fax:206-264-8689
Practice Address - Street 1:7320 216TH ST SW
Practice Address - Street 2:SUITE 320
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-8006
Practice Address - Country:US
Practice Address - Phone:425-673-3916
Practice Address - Fax:425-673-3910
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2011-10-20
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Provider Licenses
StateLicense IDTaxonomies
WAPU20001220225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8877094Medicare PIN