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Individual
MR. ROBERT E TUTLAND
Active
Individual
MR. ROBERT E TUTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00000870
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33890
WKRS COMP
—
05
—
785190
—
WA
Enumeration date
11/17/2006
Last updated
07/08/2007
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