Bettencourt, Angela M
Bettencourt, Angela M is an individual health care provider with primary practice located at 12121 Harbour Reach Dr Ste 100 , Mukilteo WA 98275-5314. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bettencourt, Angela M can be contacted via phone (425) 493-8313.Contact Information
Primary practice address
12121 Harbour Reach Dr Ste 100
Mukilteo WA 98275-5314
Phone: (425) 493-8313
Fax: (425) 493-9614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00003106 | Washington |
Profile Details
| NPI number | 1770623332 |
|---|---|
| LBN Legal business name | Bettencourt, Angela M |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770623332 | NPPES |
| Washington | MEDICAID | 8350928 |
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