Basic Information
Provider Information
NPI: 1881780898
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OBLANDER
FirstName: MARGARET
MiddleName: A.
NamePrefix: MS.
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: D'ARCHE
OtherFirstName: MARGARET
OtherMiddleName: A.
OtherNamePrefix: MS.
OtherNameSuffix:  
OtherCredential: PT
OtherLastNameType: 1
Mailing Information
Address1: 720 OLIVE WAY
Address2: SUITE 1505
City: SEATTLE
State: WA
PostalCode: 981011878
CountryCode: US
TelephoneNumber: 2068382590
FaxNumber: 2062648689
Practice Location
Address1: 600 NW GILMAN BLVD
Address2: SUITE A
City: ISSAQUAH
State: WA
PostalCode: 980272445
CountryCode: US
TelephoneNumber: 4253133055
FaxNumber: 4253133051
Other Information
ProviderEnumerationDate: 10/05/2006
LastUpdateDate: 11/11/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPT00003978WAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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