Dziadek, Tamara

Dziadek, Tamara is an individual health care provider with primary practice located at 1106 Hazel St , Port Angeles WA 98363-2302. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics is her primary health care specialty. Dziadek, Tamara can be contacted via phone (360) 417-9484.

Contact Information

Primary practice address
1106 Hazel St Port Angeles WA 98363-2302
Phone: (360) 417-9484
Fax: (360) 417-8826
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00006788 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X PT00006788 Washington

Profile Details

NPI number 1417956061
LBN Legal business name Dziadek, Tamara
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2005
Last updated Feb 21st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417956061 NPPES
Washington MEDICAID 7093230
Washington Other P00209911

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