Individual
AMY L MARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1233 LAWRENCE ST, PORT TOWNSEND, WA 98368-6554
(360) 302-6033
(866) 816-1311
Mailing address
1233 LAWRENCE ST STE 201, PORT TOWNSEND, WA 98368-6554
(360) 302-6033
(866) 816-1311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501016038
MI
225100000X
Physical Therapist
Primary
PT00006835
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210018
L & I
—
Enumeration date
07/18/2006
Last updated
01/03/2024
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