Kornerstone Kids Ps
Physical Therapist in Bellingham, WA. Organization (NPI-2).
NPI number1023478641
StatusActive
Last updated in NPPESMar 22, 2016
Details
- NPI
- 1023478641
- Entity type
- Organization (NPI-2)
- Legal business name
- Kornerstone Kids Ps
- Organization subpart
- No
- Enumeration date
- Feb 24, 2016
- Last updated
- Mar 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 2251P0200X | Physical Therapist, Pediatrics | – | – | |
| 225X00000X | Occupational Therapist | – | – | |
| 225XP0200X | Occupational Therapist, Pediatrics | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
400 Sequoia DrSuite 120
Bellingham, WA 98226-7133
Phone 360-354-1115
Mailing address
8862 Bender RdSuite 202
Lynden, WA 98264-8800
Authorized official
Greg Penner
Founder
3603541115
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