Individual
DMITRIY ANDRUSHCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AS
Contact information
Practice address
33625 27TH PL SW, FEDERAL WAY, WA 98023-7711
(253) 569-2957
Mailing address
33625 27TH PL SW, FEDERAL WAY, WA 98023-7711
(253) 569-2957
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160505759
WA
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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