Individual
BADZ SANTANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
10530 19TH AVE SE STE 201, EVERETT, WA 98208-4282
(425) 357-1790
Mailing address
PO BOX 73188, PUYALLUP, WA 98373-0188
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60157196
WA
Other
Enumeration date
09/11/2013
Last updated
02/09/2024
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