Individual
MR. MARIUSZ STAWOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
702 JADWIN AVE STE A, RICHLAND, WA 99352-4256
(509) 946-9007
(509) 946-9755
Mailing address
702 JADWIN AVE STE A, RICHLAND, WA 99352-4256
(509) 946-9007
(509) 946-9755
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT00008664
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195507
L&I
WA
05
—
7136021
—
WA
01
—
7603683
AETNA
WA
Enumeration date
03/06/2006
Last updated
11/05/2007
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