Individual
MELODIE LANGSTRAAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1610 GROVER ST STE B2, LYNDEN, WA 98264-1539
(360) 354-5245
Mailing address
2284 JAMES CIR UNIT A, LYNDEN, WA 98264-9064
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160040906
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P160040906
WA STATE LICENSE
WA
Enumeration date
03/02/2016
Last updated
03/02/2016
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