Individual
ANITA M TERRANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13430 NW QUARTERHORSE WAY, BREMERTON, WA 98312-3524
(360) 865-2654
Mailing address
13430 NW QUARTERHORSE WAY, BREMERTON, WA 98312-3524
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P161035801
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P161035801
STATE LICENSE
WA
Enumeration date
09/09/2020
Last updated
09/23/2021
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