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Individual

ALAN R BADGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
840 E HILL AVE, MOSES LAKE, WA 98837-2238
(509) 765-0216
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009848
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0200145
L&I
WA
05
8433096
WA
Enumeration date
06/25/2006
Last updated
05/13/2010
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