Individual
TRACY A OBAN BEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
219 CEDAR AVE S, NORTH BEND, WA 98045-8262
(425) 888-2129
Mailing address
34813 SE KINSEY ST, G-102, SNOQUALMIE, WA 98065-9391
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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