Individual
BROOKE MIYOKO NITTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1417 S PIONEER WAY, MOSES LAKE, WA 98837-2458
(509) 765-1856
(509) 765-3323
Mailing address
1417 S PIONEER WAY, MOSES LAKE, WA 98837-2458
(509) 765-1856
(509) 765-3323
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
8702
CA
225200000X
Physical Therapy Assistant
Primary
P160045839
WA
Other
Enumeration date
03/20/2009
Last updated
05/30/2012
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