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Individual

JUDITH M PERRY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1607 E FRONT ST, STE C, PT ANGELES, WA 98362-4636
(360) 452-7798
(360) 452-2772
Mailing address
1607 E FRONT ST, STE C, PT ANGELES, WA 98362-4636
(360) 452-7798
(360) 452-2772

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003962
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0174524
L & I
WA
Enumeration date
08/16/2005
Last updated
07/08/2007
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