Individual
HEIDI JOHANNA MOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 194TH ST SW, LYNNWOOD, WA 98036-4613
(425) 670-9987
Mailing address
21753 SE 299TH WAY, KENT, WA 98042-9224
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160763192
WA
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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