Individual
FERNANDO G DIMACALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
702 N 16TH AVE, YAKIMA, WA 98902-1803
(509) 853-2510
(509) 577-7193
Mailing address
702 N 16TH AVE, YAKIMA, WA 98902-1803
(509) 853-2510
(509) 577-7193
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00010787
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0236734
DEPARTMENT OF LABOR AND INDUSTRIES
WA
Enumeration date
07/14/2008
Last updated
07/14/2008
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