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Individual

HEIDI ANNE WASHENBERGER

Active
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Individual

HEIDI ANNE WASHENBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006473
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
135862
DEPT OF LABOR & INDUSTRIE
WA
01
5128102
AETNA/LEXINGTON, KY
WA
01
810588134-05
KPS HEALTH PLANS
WA
01
8524WA
REGENCE BLUE SHIELD
WA
Enumeration date
05/24/2006
Last updated
11/27/2007
Update your record

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