Provider Demographics
NPI:1124880463
Name:DE RHAM TORTORELLI, SYLVIE (PT)
Entity type:Individual
Prefix:
First Name:SYLVIE
Middle Name:
Last Name:DE RHAM TORTORELLI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3217 SQUALICUM PKWY
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1935
Mailing Address - Country:US
Mailing Address - Phone:360-788-6420
Mailing Address - Fax:360-788-6539
Practice Address - Street 1:3217 SQUALICUM PKWY
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1935
Practice Address - Country:US
Practice Address - Phone:360-788-6420
Practice Address - Fax:360-788-6539
Is Sole Proprietor?:No
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00007809225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist