Individual
MR. JOHN FORE
Active
Individual
MR. JOHN FORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009071
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0168404
LABOR AND INDUSTRY
WA
01
—
11362195
FIRST HEALTH
WA
01
—
3120217
AETNA (HMO, QPOS, US)
WA
01
—
7561142
AETNA (PPO, POS, EPO)
WA
05
—
8378671
—
WA
Enumeration date
12/06/2006
Last updated
07/08/2007
Update your record
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