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1972094795
ANTHONY OTALORA-SUGASTE
TACOMA, WA
NPI
1972094795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2018-05-29
Last Update Date
2024-06-28
Business Address
ANTHONY OTALORA-SUGASTE
15703 PACIFIC AVE S STE B
TACOMA, WA 98444-4675
Phone number: 253-531-4100
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Mailing Address
ANTHONY OTALORA-SUGASTE
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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