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Individual

EDWARD DEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1100 9TH AVE, MS:X2-SM, SEATTLE, WA 98101-2756
(206) 223-7528
Mailing address
1100 9TH AVE, MS:M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811

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
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