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1063249456
ROOSEVELT DOMINIC SIMMONS
SEATTLE, WA
NPI
1063249456
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Other Name
ROOSEVELT KAI SIMMONS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT61572474)
Enumeration Date
2024-09-18
Last Update Date
2024-09-18
Business Address
ROOSEVELT DOMINIC SIMMONS DPT
4400 STONE WAY N
SEATTLE, WA 98103-7485
Phone number: 206-536-3049
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Mailing Address
ROOSEVELT DOMINIC SIMMONS DPT
4509 LINDEN AVE N
SEATTLE, WA 98103-6531
Phone number: 951-249-5330
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