Individual
DR. ALEXANDER SCOTT FANDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
22526 SE 64TH PL STE 140, ISSAQUAH, WA 98027-5368
(425) 270-3238
Mailing address
22526 SE 64TH PL STE 140, ISSAQUAH, WA 98027-5368
(425) 270-3238
(425) 651-2792
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60888022
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT60888022
DEPARTMENT OF HEALTH WASHINGTON
WA
Enumeration date
08/15/2018
Last updated
12/06/2019
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