Individual
JAMES K HABERSTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4935 POINT FOSDICK DR NW, SUITES F200 & F300, GIG HARBOR, WA 98335-1851
(253) 258-3355
(253) 258-3356
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
PT3697
WA
2251G0304X
Geriatric Physical Therapist
PT3697
WA
2251N0400X
Neurology Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8333296
—
WA
Enumeration date
07/26/2005
Last updated
03/07/2017
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