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Contact Information

TAMARA DZIADEK, PT
1106 HAZEL ST
PORT ANGELES, WA98363-2302
 Phone: 360-417-9484
 Fax: 360-417-8826
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for TAMARA DZIADEK · (Female)

NPI Number 1417956061
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 07/16/2005
Last updated 02/21/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WA License # PT00006788
  • WA Medicaid 7093230
  • WA Other P00209911 PALMETTO GBA RR MEDICAREB
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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