Individual
GRETCHEN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12730 ROAD 1.5 SE, MOSES LAKE, WA 98837-9467
(509) 765-8041
Mailing address
12730 ROAD 1.5 SE, MOSES LAKE, WA 98837-9467
(509) 765-8041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 00003568
WA
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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