Individual
MR. MORITZ HAMIDOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2120 E DIVISION ST, MOUNT VERNON, WA 98274-4639
(360) 424-4258
Mailing address
12161 JACQUELINE DR, BURLINGTON, WA 98233-3646
(360) 708-9138
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P16026942
WA
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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