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Individual

DEREK R CASTONGUAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
33501 FRIST WAY SOUTH, FEDERAL WAY, WA 98003-6208
(253) 838-2400
Mailing address
1100 OLIVE WAY, MS:M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009677
WA

Other

Enumeration date
05/05/2006
Last updated
04/10/2008
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