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Individual
MARC EUGENE NORDBY
Active
Individual
MARC EUGENE NORDBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007083
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0188137
L & I
WA
05
—
8415630
—
WA
01
—
912075994
KETRAP PHYSICAL THERAPY &
—
Enumeration date
05/17/2006
Last updated
05/08/2014
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