Individual
TABITHA BAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9514 4TH ST NE UNIT 101, LAKE STEVENS, WA 98258-1937
(425) 397-2327
Mailing address
412 CENTER RD APT A3, EVERETT, WA 98204-5901
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P161535512
WA
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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