Individual
MISS SUSAN PAULETTE DORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6220 S ALASKA ST, TACOMA, WA 98408-1317
(253) 476-5300
(253) 476-5365
Mailing address
6220 S ALASKA ST, TACOMA, WA 98408-1317
(253) 476-5300
(253) 476-5365
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60039275
WA
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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