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1073145256
REY HERMANN BALTAZAR
AUBURN, WA
NPI
1073145256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT61031221)
Enumeration Date
2020-02-06
Last Update Date
2020-02-06
Business Address
REY HERMANN BALTAZAR PT
202 N DIVISION ST STE 110
AUBURN, WA 98001-4939
Phone number: 253-545-0044
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Mailing Address
REY HERMANN BALTAZAR PT
6050 TACOMA MALL BLVD STE 300
TACOMA, WA 98409-6828
Phone number: 253-581-5200
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AUBURN SPORTS PHYSICAL THERAPY LLC