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Organization

MADRONA PELVIC HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA LYNN MAXWELL PT, DPT (MANAGER)
(253) 212-3620
Entity
Organization

Contact information

Practice address
4701 S 19TH ST STE 101, TACOMA, WA 98405-1199
(509) 710-5873
Mailing address
4701 S 19TH ST STE 101, TACOMA, WA 98405-1199
(509) 710-5873

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
07/08/2024
Last updated
07/08/2024
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