Individual
GRACE BREWER-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4833 TUMWATER VALLEY DR SE STE 150, TUMWATER, WA 98501-4583
(360) 493-4160
Mailing address
4833 TUMWATER VALLEY DR SE STE 150, TUMWATER, WA 98501-4583
(360) 493-4160
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003651
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT00003651
LICENSE
WA
Enumeration date
01/08/2007
Last updated
07/08/2007
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