Provider Demographics
NPI:1669714036
Name:MAITLAND, MURRAY ERNEST (PHD PT)
Entity type:Individual
Prefix:DR
First Name:MURRAY
Middle Name:ERNEST
Last Name:MAITLAND
Suffix:
Gender:M
Credentials:PHD PT
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Other - First Name:
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Mailing Address - Street 1:UNIVERSITY OF WASHINGTON 1959 PACIFIC ST NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-6490
Mailing Address - Country:US
Mailing Address - Phone:206-598-5342
Mailing Address - Fax:206-685-3244
Practice Address - Street 1:UNIVERSITY OF WASHINGTON 1959 PACIFIC ST NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-6490
Practice Address - Country:US
Practice Address - Phone:206-598-5342
Practice Address - Fax:206-685-3244
Is Sole Proprietor?:No
Enumeration Date:2013-03-22
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAPT00010569225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist