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Individual

BORIS E. GLADUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
7304 LAKEWOOD DR W, STE 23, LAKEWOOD, WA 98499-7920
(206) 267-7811
(206) 267-7813
Mailing address
7304 LAKEWOOD DR W, STE 23, LAKEWOOD, WA 98499-7920
(253) 314-5762
(253) 314-5951

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008032
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8342081
WA
Enumeration date
05/03/2006
Last updated
02/19/2021
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