Individual
MRS. TAMMIE WEGNER BERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13954 NE 60TH WAY, SUITE 110, REDMOND, WA 98052-4583
(425) 890-0998
Mailing address
4616 244TH STREET CT E, GRAHAM, WA 98338-8359
(253) 961-6665
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/04/2007
Last updated
11/04/2007
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