Individual
BLONDEL C ASSONKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3010 S SOUTHEAST BLVD STE G, SPOKANE, WA 99223-3542
(509) 532-0500
(509) 532-8810
Mailing address
3010 S SOUTHEAST BLVD STE G, SPOKANE, WA 99223-3542
(509) 532-0500
(509) 532-8810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009860
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0321815
DEPT OF L&I
WA
05
—
2022526
—
WA
Enumeration date
08/17/2005
Last updated
04/22/2021
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