Individual
MR. DARRYL T KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
1560 3RD AVE, LONGVIEW, WA 98632-3229
(360) 423-9535
(360) 414-9285
Mailing address
1560 3RD AVE, LONGVIEW, WA 98632-3229
(360) 423-9535
(360) 414-9285
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006762
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0205347
LABOR & INDUSTRIES
WA
Enumeration date
10/05/2006
Last updated
07/08/2007
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