Individual
INGRID MAY SLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
5801 SOUNDVIEW DR STE 4, GIG HARBOR, WA 98335-2095
(253) 851-8790
Mailing address
5801 SOUNDVIEW DR STE 204, GIG HARBOR, WA 98335-2215
(253) 851-8790
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT00005152
WA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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