SIVAN N MUDALIAR

GRAHAM, WA
NPI1750378741
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT00009944)
Enumeration Date2005-10-04
Last Update Date2007-07-08
Business Address
-- SIVAN N MUDALIAR DPT
21806 103RD AVENUE CT E SUITE 202
GRAHAM, WA 98338-8115
Phone number: 253-847-3700
Mailing Address
-- SIVAN N MUDALIAR DPT
PO BOX 731269
PUYALLUP, WA 98373-0060
Phone number: 253-840-2313
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