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Individual

JAMES RAVOTTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
14028 SE PETROVITSKY RD, RENTON, WA 98058-8933
(425) 272-0252
(425) 272-0291
Mailing address
790 REMINGTON BLVD STE 300, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60638270
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790137164
WA
Enumeration date
07/08/2016
Last updated
06/07/2024
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