Individual provider · NPI-1

Immanuel Abera Abbo, DPT

Physical Therapist, Orthopedic · Spokane, WA

NPI number1619861499
StatusActive
Last updated in NPPESJun 5, 2025

Details

NPI
1619861499
Entity type
Individual (NPI-1)
Name
Immanuel Abera Abbo
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Jun 5, 2025
Certification date
Jun 5, 2025
Last updated
Jun 5, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251X0800X Physical Therapist, Orthopedic–WAYes

Practice location

2507 E 27th Ave
Spokane, WA 99223-4908

Phone 509-456-6917

Mailing address

2507 E 27th Ave
Spokane, WA 99223-4908

Phone 509-456-6917

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