Individual
DAN TARASOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8815 E MISSION AVE STE A, SPOKANE VALLEY, WA 99212-5039
(509) 217-3898
Mailing address
8815 E MISSION AVE, SUITE A, SPOKANE VALLEY, WA 99212-5039
(509) 444-5678
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
61351858
WA
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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