Individual
DAVIS HACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 N LAVENTURE RD, MOUNT VERNON, WA 98273-3901
(360) 428-2700
Mailing address
110 N LAVENTURE RD, MOUNT VERNON, WA 98273-3901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60928563
WA
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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