Individual
OUDI KUMENDONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
222 QUEEN ANNE AVE N APT 506, SEATTLE, WA 98109-4842
(425) 999-6481
Mailing address
222 QUEEN ANNE AVE N APT 506, SEATTLE, WA 98109-4842
(425) 999-6481
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160274116
WA
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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