Individual
ANDRILU CANUBAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1400 LAKE WASHINGTON BLVD N, C-111, RENTON, WA 98056-2564
(206) 694-9140
Mailing address
1400 LAKE WASHINGTON BLVD N, C-111, RENTON, WA 98056-2564
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
008336
CT
225100000X
Physical Therapist
Primary
PT60181770
WA
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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