Individual
KAMI DEHEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4560 SE INTERNATIONAL WAY, STE 100, MILWAUKIE, OR 97222-4628
(801) 866-9059
Mailing address
3973 W 4950 S, ROY, UT 84067-8647
(801) 866-9059
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
76095552402
UT
225200000X
Physical Therapy Assistant
Primary
P160119189
WA
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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