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Individual
MR. THEODORE F MOLASKI
Active
Individual
MR. THEODORE F MOLASKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002984
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119895
LABOR AND INDUSTRY
WA
01
—
17672
REGENCE
WA
05
—
8327686
—
WA
01
—
A002
TRICARE
—
Enumeration date
01/18/2006
Last updated
03/15/2018
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