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Individual

MS. SERENA HARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
221A NE 104TH AVE, SUITE #205, VANCOUVER, WA 98664
(503) 779-5959
Mailing address
221A NE 104TH AVE STE 205, VANCOUVER, WA 98664-4539
(360) 703-9610

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160980588
WA

Other

Enumeration date
05/30/2012
Last updated
08/14/2019
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