Individual
THERESA MARTHALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
(503) 570-3665
Mailing address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1875
MN
225200000X
Physical Therapy Assistant
P1 60687973
WA
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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