Individual
CAROLYN DEFOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 4TH ST, WOODLAND, WA 98674-8488
(888) 873-4221
Mailing address
310 4TH ST, WOODLAND, WA 98674-8488
(888) 873-4221
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160568348
WA
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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