Individual
DARLENE L BUMGARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 251-5165
(425) 656-4028
Mailing address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 251-5165
(425) 656-4028
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160031709
WA
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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