Individual
REBECCA LOBERG HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3801 KERN WAY, YAKIMA, WA 98902-6340
(509) 574-3200
Mailing address
422 S 23RD AVE, YAKIMA, WA 98902-2801
(509) 834-0522
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60638325
WA
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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