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Individual

CRAIG ARTHUR PREWITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
3209 S 23RD ST, SUITE 100, TACOMA, WA 98405-1602
(253) 459-6960
(253) 459-6980
Mailing address
3209 S 23RD ST, SUITE 100, TACOMA, WA 98405-1602
(253) 459-6960
(253) 459-6980

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007354
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
117032
LABOR & INDUSTRIES
WA
05
8346991
WA
01
8930582
L&I CRIME VICTIMS PROGRAM
WA
01
PR4515
REGENCE BLUESHIELD
WA
Enumeration date
06/08/2006
Last updated
12/15/2014
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