Individual
DYLAN NEWCOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DR.
Contact information
Practice address
23211 66TH AVE S, KENT, WA 98032-1880
(636) 208-7866
Mailing address
23211 66TH AVE S, KENT, WA 98032-1880
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
PT61279509
WA
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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