Individual
MISS AGNES AYAP BORJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4410 106TH ST SW, MUKILTEO, WA 98275-4700
(425) 493-6080
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT22644
FL
2251S0007X
Sports Physical Therapist
Primary
PT00010714
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2046845
—
WA
Enumeration date
07/02/2006
Last updated
09/01/2015
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