Individual
ANDREW ERIK DIDRICKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6520 226TH PL SE, ISSAQUAH, WA 98027-8969
(425) 391-5504
Mailing address
91 SERENITY RD, ELLENSBURG, WA 98926-7927
(206) 883-5256
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.PT.60849918
WA
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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