Individual
ANTARA POMMELLS CROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2219 N 6TH ST, CHENEY, WA 99004-2171
(509) 235-6196
Mailing address
2219 N 6TH ST, CHENEY, WA 99004-2171
(509) 235-6196
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60471534
WA
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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