Individual
TERRY KAY PUTTKAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11104 NE 149TH ST, BRUSH PRAIRIE, WA 98606-9565
(360) 885-5318
Mailing address
PO BOX 200, BATTLE GROUND, WA 98604-0200
(360) 885-5300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60050282
WA
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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