Provider Demographics
NPI:1598591273
Name:FARTHING, GEORGIA LEIGH ILIGANOA (DPT)
Entity type:Individual
Prefix:MS
First Name:GEORGIA
Middle Name:LEIGH ILIGANOA
Last Name:FARTHING
Suffix:
Gender:F
Credentials:DPT
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Mailing Address - Street 1:4005 WALLINGFORD AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8218
Mailing Address - Country:US
Mailing Address - Phone:206-829-8269
Mailing Address - Fax:206-829-8594
Practice Address - Street 1:4689 MARTIN LUTHER KING JR WAY S STE 2
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-2168
Practice Address - Country:US
Practice Address - Phone:206-327-9907
Practice Address - Fax:206-327-9928
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAPT61565658225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist