Individual
MS. AMELIA MARIE LEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
22 LAKE LOUISE DR, BELLINGHAM, WA 98229-2781
(360) 303-4164
Mailing address
22 LAKE LOUISE DR, BELLINGHAM, WA 98229-2781
(360) 303-4164
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160078802
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P160078802
STATE LICENSE NUMBER
WA
Enumeration date
09/25/2012
Last updated
09/25/2012
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