Individual
ANDRE POPICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2870 JUNIPER DR, LEWISTON, ID 83501-4720
(208) 746-2800
Mailing address
4042 38TH AVE SW, SEATTLE, WA 98126-2431
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6011
ID
225100000X
Physical Therapist
62436
OR
Other
Enumeration date
02/28/2018
Last updated
01/12/2019
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