Individual
DANIIL DOVGOPOLYY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 HAZEL ST, ARLINGTON, WA 98223-8245
(360) 403-8247
Mailing address
224 B 98TH PL SE, EVERETT, WA 98208
(425) 773-5849
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60433007
WA
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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