Individual
GIOVANNI ANDOLINA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 S 320TH ST, FEDERAL WAY, WA 98003-5374
(253) 735-0316
Mailing address
1400 SOUTH 320TH STREET, FEDERAL WAY, WA 98003
(253) 735-0316
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60032153
WA
Other
Enumeration date
08/19/2014
Last updated
08/20/2014
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