Individual
PAMELA L SKONORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
560PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0197817
WA STATE WORK COMP
MT
05
—
3401281
—
MT
01
—
60553
BCBS PROVIDER #
MT
01
—
MSF1244881
MT STATE FUND WORK COMP
MT
Enumeration date
10/14/2005
Last updated
07/09/2007
Update your record
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