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Individual

JOHN ANDREW VERMILLION

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.A

Contact information

Practice address
1300 S 320TH ST STE B, FEDERAL WAY, WA 98003-5359
(253) 839-2727
(253) 839-6081
Mailing address
1300 S 320TH ST STE B, FEDERAL WAY, WA 98003-5359
(253) 839-2727
(253) 839-6081

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60148721
WA

Other

Enumeration date
09/09/2010
Last updated
09/09/2010
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