Individual
MARY M MAYBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6004 WESTGATE BLVD, #220, TACOMA, WA 98406-2503
(253) 759-4065
Mailing address
109 NORTHWEST ELDREDGE AVENUE, ORTING, WA 98360-0486
(253) 341-1276
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60045694
WA
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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