Individual
ANDREW WODKA
Active
Individual
ANDREW WODKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS,PT, MBA
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009524
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192512
DEPT OF LABOR & INDUSTRY
WA
01
—
3757WO
REGENCE BLUE SHIELD
WA
05
—
8413882
—
WA
01
—
8939766
CRIME VICTIMS
WA
01
—
P00208864
RAILROAD MEDICARE
WA
Enumeration date
11/15/2006
Last updated
07/18/2015
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