Individual
OPEL LADALE WILTSHIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3823 46TH AVE S, SEATTLE, WA 98118-1207
(361) 332-8171
Mailing address
2204 N MCCAMPBELL ST, ARANSAS PASS, TX 78336-3039
(361) 332-8171
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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