Individual
TAMMY BURESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1300 E GRANT ST STE 100, LEBANON, OR 97355-9539
(541) 258-8222
(541) 258-8221
Mailing address
7201 W CLEARWATER AVE STE B101, KENNEWICK, WA 99336-1694
(509) 544-0265
(509) 987-1614
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7431
OR
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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