Individual
MR. TYLER DREW DELMONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 PARK AVE, BUCKLEY, WA 98321-5801
(253) 468-1520
Mailing address
300 PARK AVE, BUCKLEY, WA 98321-5801
(253) 468-1520
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160453735
WA
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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