Peganoff, Dina
Peganoff, Dina is an individual health care provider with primary practice located at 3180 Ne 3Rd Ave , Camas WA 98607-2407. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Peganoff, Dina can be contacted via phone (360) 335-9033.Contact Information
Primary practice address
3180 Ne 3Rd Ave
Camas WA 98607-2407
Phone: (360) 335-9033
Fax: (360) 335-9035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 8260 | Oregon |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 60695911 | Washington |
Profile Details
| NPI number | 1518058031 |
|---|---|
| LBN Legal business name | Peganoff, Dina |
| Credentials | PHYSICAL THERAPIST A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Aug 1st, 2017 - about 9 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 | 1518058031 | NPPES |
| Washington | Other | P01853434 | RR MEDICARE |
| Washington | MEDICAID | 1518058031 | RR MEDICARE |
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