Individual
JOHN LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3043 59TH AVE SW APT B, SEATTLE, WA 98116-4722
(201) 982-3344
Mailing address
3043 59TH AVE SW APT B, SEATTLE, WA 98116-4722
(201) 982-3344
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
045270
NY
225100000X
Physical Therapist
40QA01935900
NJ
225100000X
Physical Therapist
Primary
PT61290039
WA
Other
Enumeration date
11/26/2019
Last updated
04/19/2023
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