Individual
MARY ELIZABETH ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1301 N HIGHLANDS PKWY, TACOMA, WA 98406-2116
(253) 752-7112
Mailing address
3405 JUNO ST NE, LACEY, WA 98516-4503
(928) 920-1511
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2171743
TX
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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