Individual
MS. MAE ANGELA MARIE ONOSAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LMP
Contact information
Practice address
410 E 20TH ST, VANCOUVER, WA 98663-3316
(360) 241-3490
Mailing address
410 E 20TH ST, VANCOUVER, WA 98663-3316
(360) 241-3490
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
13857
OR
172M00000X
Mechanotherapist
Primary
MA 60036696
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0242570
LABOR AND INDUSTRIES ACCOUNT
WA
Enumeration date
08/13/2007
Last updated
07/24/2012
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