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Contact Information

ADAM R MAIN, PTA
21907 64TH AVE W
SUITE #110
MOUNTLAKE TERRACE, WA98043
 Phone: 425-673-5220
 Fax: 425-673-1597
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for ADAM R MAIN · (Male)

NPI Number 1548314008
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 01/22/2007
Last updated 04/28/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • WA License # PL 60033988
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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