Provider Demographics
NPI:1306064456
Name:OSAKI, MARYANNE THERESA (MPT)
Entity type:Individual
Prefix:
First Name:MARYANNE
Middle Name:THERESA
Last Name:OSAKI
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:MARYANNE
Other - Middle Name:THERESA
Other - Last Name:GRIESBACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:8750 GREENWOOD AVE N
Mailing Address - Street 2:S-1
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103
Mailing Address - Country:US
Mailing Address - Phone:206-782-5789
Mailing Address - Fax:206-782-5794
Practice Address - Street 1:8750 GREENWOOD AVE N
Practice Address - Street 2:S-1
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103
Practice Address - Country:US
Practice Address - Phone:206-782-5789
Practice Address - Fax:206-782-5794
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00010260225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist