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Individual

JOANNE ELIZABETH EARLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
240 NORTH A STREET, BUCKLEY, WA 98321
(360) 829-0600
Mailing address
22627 94TH AVE S, KENT, WA 98031-2478
(253) 850-0833

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160040985
WA

Other

Enumeration date
10/17/2012
Last updated
10/17/2012
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