Individual
KOMAL MARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(503) 570-3665
Mailing address
16057 NE 8TH ST APT 203, BELLEVUE, WA 98008-3936
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 00010307
WA
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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