Individual
ANGELENE SAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1010 SOUTH 336TH STREET, SUITE 210, FEDERAL WAY, WA 98003
(866) 835-8091
Mailing address
1010 SOUTH 336TH STREET, SUITE 210, FEDERAL WAY, WA 98003
(866) 835-8091
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60031473
WA
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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