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Individual

ASHLEY VANGUNDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6825 BURDEN BLVD STE D, PASCO, WA 99301-5633
(509) 416-0666
(509) 545-1112
Mailing address
6825 BURDEN BLVD STE D, PASCO, WA 99301-5633
(509) 416-0666
(509) 545-1112

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60974763
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT60974763
WA STATE LICENSE
WA
Enumeration date
07/26/2019
Last updated
07/26/2019
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