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Individual

TRAVIS DEPEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
4455 148TH AVE NE, BELLEVUE, WA 98007-3120
(425) 861-6255
Mailing address
4455 148TH AVE NE, BELLEVUE, WA 98007-3120
(425) 861-6255

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
293414
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
61102342
WA

Other

Enumeration date
08/12/2017
Last updated
08/31/2021
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