Individual
TERESA MAISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
210 S 72ND AVE STE 130, YAKIMA, WA 98908-1689
(509) 453-3103
Mailing address
210 S 72ND AVE STE 130, YAKIMA, WA 98908-1689
(509) 453-3103
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60042706
WA
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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