Individual
MR. JOE BOLEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
9612 270TH ST NW, STANWOOD, WA 98292-1906
(360) 629-8043
(360) 629-8053
Mailing address
9612 270TH ST NW, STANWOOD, WA 98292-1906
(360) 629-8043
(360) 629-8053
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007557
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137312
LABOR & INDUSTRIES
WA
05
—
7101934
—
WA
Enumeration date
05/24/2005
Last updated
07/30/2010
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