Individual
VLADIMIR URSUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
400 29TH ST NE, PUYALLUP, WA 98372-6774
(253) 840-4400
Mailing address
400 29TH ST NE, PUYALLUP, WA 98372-6774
(253) 840-4400
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160422145
WA
Other
Enumeration date
11/21/2015
Last updated
11/21/2015
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