Individual
MR. AKANITH SOONTARARAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7800 SW DURHAM RD, SUITE 500, TIGARD, OR 97224-7577
(503) 937-0090
(503) 372-5191
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60446
OR
225100000X
Physical Therapist
PT011278
GA
225100000X
Physical Therapist
PT60460960
WA
Other
Enumeration date
05/20/2014
Last updated
09/22/2016
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