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Individual

JUDITH SHOESMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
140 MARION AVE S, BREMERTON, WA 98312-3639
(360) 479-4747
(360) 377-3736
Mailing address
140 MARION AVE S, BREMERTON, WA 98312-3639
(360) 479-4747
(360) 377-3736

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60345398
WA

Other

Enumeration date
01/07/2014
Last updated
01/07/2014
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