Provider Demographics
NPI:1932411287
Name:TRIUMPH THERAPY LLC
Entity Type:Organization
Organization Name:TRIUMPH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ROBERT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:206-780-3204
Mailing Address - Street 1:10066 EDGECOMBE PL NE
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-4333
Mailing Address - Country:US
Mailing Address - Phone:206-780-3204
Mailing Address - Fax:
Practice Address - Street 1:10066 EDGECOMBE PL NE
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-4333
Practice Address - Country:US
Practice Address - Phone:206-780-3204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-01
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy