Individual
MRS. BREENA SUE HIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
920 12TH AVE SE, PUYALLUP, WA 98372-4920
(253) 841-3422
Mailing address
11104 184TH AVENUE PL E, BONNEY LAKE, WA 98391-6044
(253) 862-4708
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1776
AK
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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