Individual
MRS. BERYL NIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1207 W ALICE AVE, SPOKANE, WA 99205-2707
(360) 301-2861
Mailing address
1207 W ALICE AVE, SPOKANE, WA 99205-2707
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60644030
WA
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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