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Individual

MR. DOUGLAS T UYEDA

Active
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Individual

MR. DOUGLAS T UYEDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006340
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
207260
LNI PROVIDER NUMBER
WA
Enumeration date
05/18/2007
Last updated
07/08/2007
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