Individual
STEPHANIE MARIE KOWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1220 E PIONEER AVE, PUYALLUP, WA 98372-3382
(509) 590-3583
Mailing address
1220 E PIONEER AVE, PUYALLUP, WA 98372-3382
(509) 590-3583
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA60179147
WA
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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