Individual
AHMED ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
19017 120TH AVE NE BLDG 1, SUITE 111, BOTHELL, WA 98011-9510
(425) 489-3420
(425) 489-3421
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60590293
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0347868
L & I
WA
01
—
0347909
L & I
WA
05
—
1699148890
—
WA
Enumeration date
11/10/2015
Last updated
10/07/2016
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