Individual
MARY J HINDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
707 S PARK ST, DEER PARK, WA 99006-0948
(509) 276-8811
(866) 629-4801
Mailing address
707 S PARK ST, DEER PARK, WA 99006-0948
(509) 276-8811
(866) 629-4801
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT00002167
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8334187
—
WA
Enumeration date
05/27/2005
Last updated
07/06/2012
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