Individual
TATYANA KOLESNIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 BIRCHWOOD AVE, BELLINGHAM, WA 98225-1302
(360) 734-9295
Mailing address
1200 BIRCHWOOD AVE, BELLINGHAM, WA 98225-1302
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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