Provider Demographics
NPI:1952850083
Name:FLUENS CHILDREN'S THERAPY, PLLC
Entity Type:Organization
Organization Name:FLUENS CHILDREN'S THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABAWAG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-212-3502
Mailing Address - Street 1:2601 70TH AVE W STE E
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98466-5430
Mailing Address - Country:US
Mailing Address - Phone:253-212-3502
Mailing Address - Fax:888-972-1827
Practice Address - Street 1:2601 70TH AVE W STE E
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466-5430
Practice Address - Country:US
Practice Address - Phone:253-212-3502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-30
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2076777Medicaid