Individual
MRS. PETRINA MAE CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7200 S 180TH ST STE 101, TUKWILA, WA 98188-5548
(206) 856-9843
Mailing address
4212 S 245TH CT, KENT, WA 98032-4156
(206) 856-9843
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60893043
WA
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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