Individual
JULIE K WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1105 27TH ST, ANACORTES, WA 98221-2710
(360) 855-7536
Mailing address
1105 27TH ST, ANACORTES, WA 98221-2710
(360) 855-7536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007193
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7155104
—
WA
Enumeration date
07/29/2005
Last updated
07/07/2011
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