Organization
NEW ATHLETE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN EVERETT PAUL ARP THERAPIST (OWNER)
(360) 567-0553
Entity
Organization
Contact information
Practice address
7219 NE HIGHWAY 99, SUITE 101, VANCOUVER, WA 98665-8878
(360) 567-0553
(360) 258-1531
Mailing address
7219 NE HIGHWAY 99, SUITE 101, VANCOUVER, WA 98665
(360) 567-0553
(360) 258-1531
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
MN
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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