Individual
JAMES VAN DUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8715 108TH ST SW, LAKEWOOD, WA 98498-4310
(253) 677-5284
Mailing address
8715 108TH ST SW, LAKEWOOD, WA 98498-4310
(253) 677-5284
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009547
WA
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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