Individual
SAMBATH TITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3919 S 19TH ST, TACOMA, WA 98405-1414
(253) 752-5677
Mailing address
3919 S 19TH ST, TACOMA, WA 98405-1414
(253) 752-5677
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160144161
WA
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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