Provider Demographics
NPI:1386804813
Name:GALAMBOS, JUDY (DPT)
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:
Last Name:GALAMBOS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21525 HWY 410 E STE B
Mailing Address - Street 2:
Mailing Address - City:BONNEY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98391-4101
Mailing Address - Country:US
Mailing Address - Phone:253-826-8520
Mailing Address - Fax:
Practice Address - Street 1:21525 HWY 410 E STE B
Practice Address - Street 2:
Practice Address - City:BONNEY LAKE
Practice Address - State:WA
Practice Address - Zip Code:98391-4101
Practice Address - Country:US
Practice Address - Phone:253-826-8520
Practice Address - Fax:206-324-4345
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00009661225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist