Wahlstrom, Jon Mark
Wahlstrom, Jon Mark is an individual health care provider with primary practice located at 7604 145Th Street Ct E , Puyallup WA 98375-7095. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Wahlstrom, Jon Mark can be contacted via phone (253) 278-2291.Contact Information
Primary practice address
7604 145Th Street Ct E
Puyallup WA 98375-7095
Phone: (253) 278-2291
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | P160038469 | Washington |
Profile Details
| NPI number | 1033583182 |
|---|---|
| LBN Legal business name | Wahlstrom, Jon Mark |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2015 |
| Last updated | Nov 29th, 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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