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Individual

JOHN R CELESTINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, GCS. MTC. CSCS

Contact information

Practice address
2521 S STEEN RD, SPOKANE VALLEY, WA 99016-8775
(509) 922-8081
Mailing address
2521 S STEEN RD, SPOKANE VALLEY, WA 99016-8775
(509) 922-8081

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2535
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22823
DEPT OF L&I
WA
01
5524696
AETNA INSURANCE
WA
05
8335093
WA
01
CE6440
ASURIS HEALTH PLANS
WA
Enumeration date
09/15/2006
Last updated
01/23/2008
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