Individual
GWENDOLYN MARIE BALDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
817 COMMERCIAL ST, LEAVENWORTH, WA 98826-1316
(509) 548-3421
Mailing address
817 COMMERCIAL ST, LEAVENWORTH, WA 98826-1316
(509) 548-3421
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
61081864
WA
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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