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Individual

DR. EPHRAIM MAKUVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
7470 DEAN MARTIN DR STE 101, LAS VEGAS, NV 89139-5944
(702) 707-3464
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1658
ND
225100000X
Physical Therapist
Primary
2642
NV
225100000X
Physical Therapist
8217793-2401
UT
225100000X
Physical Therapist
PT60235492
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0289204
L&I
WA
05
1952687584
WA
Enumeration date
10/27/2011
Last updated
08/12/2022
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