Individual
GINA VONBARGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3717 GRANDVIEW DR W, UNIVERSITY PLACE, WA 98466-2138
(253) 566-3326
Mailing address
1228 S MOUNTAIN VIEW AVE, TACOMA, WA 98465-1225
(253) 389-2734
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60307749
WA
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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