Individual
LOIS MAIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 NE TERI CT, BREMERTON, WA 98311-2564
(360) 689-7607
Mailing address
130 NE TERI CT, BREMERTON, WA 98311-2564
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160541628
WA
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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