Individual
MARK W DEBOURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7579 OLD REDMOND RD, APT 6, REDMOND, WA 98052
(215) 379-3645
Mailing address
7579 OLD REDMOND RD APT 6, REDMOND, WA 98052-6828
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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