Individual
EDWARD DEAL
Active
Individual
EDWARD DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002754
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039585
LABOR AND INDUSTRIES #
WA
05
—
8334740
—
WA
01
—
9680DE
BLUE SHIELD #
WA
01
—
P00317255
RAILROAD MC #
WA
01
—
US5912723
AETNA SPECIALIST PIN
WA
Enumeration date
02/02/2007
Last updated
02/12/2013
Update your record
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