| Harbor Home Therapy & Wellness Llc | |
|
708 135th St Nw Gig Harbor WA 98332-7638 | |
| (402) 721-9662 | |
| Not Available |
| Full Name | Harbor Home Therapy & Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 708 135th St Nw, Gig Harbor, Washington |
| Authorized Official Name and Position | Michael J Kubik (MEMBER) |
| Authorized Official Contact | 4027219662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Home Therapy & Wellness Llc 708 135th St Nw Gig Harbor WA 98332-7638 Ph: (402) 721-9662 | Harbor Home Therapy & Wellness Llc 708 135th St Nw Gig Harbor WA 98332-7638 Ph: (402) 721-9662 |
| NPI Number | 1023899739 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 11/04/2023 |
| Medicare PECOS PAC ID | 1153778121 |
|---|---|
| Medicare Enrollment ID | O20231113002584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023899739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | Michael J Kubik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043213846 PECOS PAC ID: 3577546290 Enrollment ID: I20040614000516 |
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