Most Relevant Information
Provider Data
| NPI Number: | 1003280322 |
| Provider Name: | DMITRIY ANDRUSHCHENKO AS |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | P160505759 |
Most Important Dates
| Enumeration Date: | 11/24/2015 |
| Last Updated: | 11/24/2015 |
Provider Practice Location
33625 27TH PL SW
FEDERAL WAY
WA
980237711
Practice Location Phone/Fax
| Phone: | 2535692957 |
| Fax: |
Provider Mailing Location
33625 27TH PL SW
FEDERAL WAY
WA
980237711
Provider Mailing Phone/Fax
| Phone: | 2535692957 |
| Fax: |