Individual
REBECCA GRUCZA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20420 MARINE DR, STANWOOD, WA 98292-6116
(360) 652-2632
Mailing address
2624 MCLEOD RD, BELLINGHAM, WA 98225-1368
(360) 543-3791
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160039259
WA
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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