Mcrae, Georgia Ann
Mcrae, Georgia Ann is an sole proprietor health care provider with primary practice located at 4606 Bridgeport Way W Suite C, University Place WA 98466-4200. 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. Mcrae, Georgia Ann can be contacted via phone (253) 565-3551.Contact Information
Primary practice address
4606 Bridgeport Way W Suite C
University Place WA 98466-4200
Phone: (253) 565-3551
Fax: (253) 565-4535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00002567 | Washington |
Profile Details
| NPI number | 1326029661 |
|---|---|
| LBN Legal business name | Mcrae, Georgia Ann |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 11th, 2005 |
| Last updated | Feb 16th, 2012 - about 12 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 | 1326029661 | NPPES |
| Washington | MEDICAID | 7041437 |
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