Maria Acevado

Individual provider Active NPI Physical Therapy Assistant · Arlington, WA

NPI 1124419700 · NPPES record last updated Feb 18, 2015

Key facts

NPI
1124419700
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
P160261643 (WA)
Practice address
3710 168TH St NE
#A102
Arlington, WA 98223-8461
Phone
(360) 658-8100
Fax
(360) 658-0508
NPI assigned
Feb 18, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P160261643WAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X P160261643 WA Yes

Addresses

Primary practice location

3710 168TH St NE
#A102
Arlington, WA 98223-8461

Mailing address

10505 19TH Ave SE
Suite B
Everett, WA 98208-4280
Phone (408) 570-0510

Other providers in Arlington, WA

All providers in Arlington, WA · Physical Therapy Assistant in Washington

Sources for this page

Verify at the official NPI Registry.