Individual
MS. GAIL ALENE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1114 GEORGIANA ST, PORT ANGELES, WA 98362-4212
(360) 452-6216
(360) 452-8765
Mailing address
11481 SW HALL BLVD, STE 201, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 443-1402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002514
WA
225100000X
Physical Therapist
PT4747
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7022296
—
WA
01
—
P00315248
RAILROAD
WA
Enumeration date
12/05/2005
Last updated
12/04/2007
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