Moak, Shonna Renee
Moak, Shonna Renee is an individual health care provider with primary practice located at 33501 1St Way S , Federal Way WA 98003-6208. 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. Moak, Shonna Renee can be contacted via phone (253) 838-2400.Contact Information
Primary practice address
33501 1St Way S
Federal Way WA 98003-6208
Phone: (253) 838-2400
Fax: (253) 874-1634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00009905 | Washington |
Profile Details
| NPI number | 1407903255 |
|---|---|
| LBN Legal business name | Moak, Shonna Renee |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Aug 23rd, 2013 - about 11 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 | 1407903255 | NPPES |
| Washington | Other | 0207948 | DEPT OF LABOR & INDUSTRY |
| Washington | Other | 8451783 | DEPT OF LABOR & INDUSTRY |
| Washington | Other | 912117273 | DEPT OF LABOR & INDUSTRY |
| Washington | Other | 1598725798 | DEPT OF LABOR & INDUSTRY |
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