Individual
ANNE MARIE PURDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2006 W LINCOLN AVE STE A, YAKIMA, WA 98902-2406
(509) 573-4816
(509) 573-4825
Mailing address
2006 W LINCOLN AVE STE A, YAKIMA, WA 98902-2406
(509) 573-4816
(509) 573-4825
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160033093
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P160033093
LICENSE
WA
Enumeration date
01/22/2018
Last updated
01/22/2018
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