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Individual

DR. ANTONIO JOAQUIN VARELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT MHSC MTC

Contact information

Practice address
5210 CORPORATE CENTER CT SE, SUITE D, LACEY, WA 98503-5952
(360) 455-8155
(360) 455-1655
Mailing address
181 MOSES CREEK BLVD, ST. AUGUSTINE, FL 32086
(904) 616-1282

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60017380
WA
2251X0800X
Orthopedic Physical Therapist
18058
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
236094
L&I
WA
01
2766VA
REGENCE
WA
01
2767VA
REGENCE
WA
01
2769VA
REGENCE
WA
01
3456VA
REGENCE
WA
01
6788VA
REGENCE
WA
01
8525339
DSHS
WA
01
8947463
L&I CRIME
WA
01
G8873416
MEDICARE
WA
Enumeration date
07/12/2007
Last updated
07/29/2009
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