NPI 1104874577 · live from the CMS NPI Registry
Nina Marie Altman, MED BSPT
Physical Therapist in Lakewood, WA. National Provider Identifier 1104874577, active.
NPI record
| NPI | 1104874577 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 7308 Bridgeport Way W, Suite 203, Lakewood, WA 98499 |
| Practice phone | 253-582-8500 |
| Mailing address | 4040 Orchard St W, Suite 100, Fircrest, WA 98466 |
| Enumerated | May 5, 2006 |
| Last updated | October 8, 2007 |
| Sole proprietor | No |
| Other names | Nina Hatton Or Henderson |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | PT00002421 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.