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Individual

TARA CHRISTINE PEERENBOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, ATC, AT/L

Contact information

Practice address
3013 S MOUNT BAKER BLVD, SEATTLE, WA 98144-6139
(425) 941-4874
Mailing address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(425) 941-4874

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A1 60037024
WA

Other

Enumeration date
02/09/2009
Last updated
02/09/2009
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