Individual
ALICE STRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
1520 ROOSEVELT AVE, SUITE 105, MOUNT VERNON, WA 98273-2685
(360) 416-6505
(360) 416-8241
Mailing address
1300 44TH ST SE, EVERETT, WA 98203-2200
(425) 339-2559
(425) 339-1583
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OI00000116
WA
224P00000X
Prosthetist
Primary
PS00000117
WA
Other
Enumeration date
04/30/2010
Last updated
10/21/2011
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