Individual
MR. DIMITRIJE DEJANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3121 SQUALICUM PKWY, BELLINGHAM, WA 98225-1937
(360) 734-6760
(360) 752-0660
Mailing address
3121 SQUALICUM PKWY, BELLINGHAM, WA 98225-1937
(360) 734-6760
(360) 752-0660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009192
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0217304
LABOR AND INDUSTRIES
WA
Enumeration date
05/17/2007
Last updated
07/08/2007
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