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Individual
PATRICIA LOUISE MACK
Active
Individual
PATRICIA LOUISE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007838
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8333635
—
WA
Enumeration date
11/30/2005
Last updated
06/05/2019
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