Individual
ANDREY AMOSOVICH DATSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2726 ALDERWOOD AVE, BELLINGHAM, WA 98225-1223
(360) 733-2322
Mailing address
2726 ALDERWOOD AVE, BELLINGHAM, WA 98225-1223
(360) 733-2322
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160043563
WA
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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