Stoakley, Cora Bundy

Stoakley, Cora Bundy is an individual health care provider with primary practice located at 3131 E Madison St Ste 205, Seattle WA 98112-4263. 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. Stoakley, Cora Bundy can be contacted via phone (206) 324-5389.

Contact Information

Primary practice address
3131 E Madison St Ste 205 Seattle WA 98112-4263
Phone: (206) 324-5389
Fax: (206) 324-5391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00008883 Washington

Profile Details

NPI number 1770566622
LBN Legal business name Stoakley, Cora Bundy
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Nov 1st, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770566622 NPPES
Washington MEDICAID 8334567

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