Individual
JAMES K HABERSTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
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
Update your record
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