Individual
ADAM R MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
21907 64TH AVE W, SUITE #110, MOUNTLAKE TERRACE, WA 98043
(425) 673-5220
(425) 673-1597
Mailing address
2445 140TH AVE NE, SUITE B105, BELLEVUE, WA 98005
(425) 644-6328
(425) 644-6295
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PL 60033988
WA
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
01/22/2007
Last updated
04/28/2009
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