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1073724035
JIM T HENRICKSEN
TACOMA, WA
NPI
1073724035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00004025)
Enumeration Date
2007-05-24
Last Update Date
2022-10-27
Business Address
JIM T HENRICKSEN PT
1708 YAKIMA AVE
TACOMA, WA 98405-5307
Phone number: 253-274-4712
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Mailing Address
JIM T HENRICKSEN PT
9505 S STEELE ST
TACOMA, WA 98444-6858
Phone number: 253-597-6800
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