Individual
TAMMY LYNN DEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
16259 SYLVESTER RD SW STE 102, BURIEN, WA 98166-3094
(206) 242-5186
(206) 971-1986
Mailing address
22208 131ST ST E, BONNEY LAKE, WA 98391-7537
(206) 383-4278
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60039269
WA
Other
Enumeration date
04/25/2021
Last updated
04/25/2021
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