Individual
CAREY ANN MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
24206 N DONIELLE LN, DEER PARK, WA 99006-9766
(509) 991-6585
Mailing address
PO BOX 386, COLBERT, WA 99005-0386
(509) 991-6585
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
RPT-1023
ID
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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