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Individual

KENSHIN SCOGGIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
4421 NE ST JOHNS RD, SUITE D, VANCOUVER, WA 98661-2573
(360) 694-9099
(360) 695-6638
Mailing address
4421 NE ST JOHNS RD, SUITE D, VANCOUVER, WA 98661-2573
(360) 694-9099
(360) 695-6638

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
10/03/2016
Last updated
10/03/2016
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