Individual
EDWIN TRIA MALIJAN
Active
Individual
EDWIN TRIA MALIJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003917
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0115893
DEPT OF L&I PROVIDER ID#
WA
01
—
11362400
CIGNA&CAQH PROVIDER ID#
WA
01
—
2243189
AETNA HMO, QPOS ID#
WA
01
—
7076062
AETNA PPO,POS,EPO ID#
WA
05
—
7084650
—
WA
Enumeration date
01/22/2007
Last updated
07/09/2007
Update your record
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