Individual
PAUL ALVAN WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0001576
DE
225100000X
Physical Therapist
PT015144
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000053568
DPCI
DE
01
—
001939973
PA BLUE SHIELD
PA
05
—
1018770990002
—
PA
05
—
1942244850
—
DE
01
—
30070466
KEYSTONE MERCY
PA
01
—
3746091000
IBC
DE
Enumeration date
06/15/2006
Last updated
06/13/2011
Update your record
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