Individual
JOIE GLOUDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1813 S MERIDIAN, PUYALLUP, WA 98371-7807
(253) 697-9779
Mailing address
521 S 53RD ST, TACOMA, WA 98408-6550
(360) 770-0585
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
60467974
WA
225200000X
Physical Therapy Assistant
Primary
P160467974
WA
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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