Individual
NICHOLAS DWAYNE COBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8495 161ST AVE NE, REDMOND, WA 98052-3849
(425) 881-3001
Mailing address
460 2ND AVE S APT 204, KIRKLAND, WA 98033-6668
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60161861
WA
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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