Individual
ASHLEY PETTYJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2051 POTTERY AVE, PORT ORCHARD, WA 98366-2010
(360) 876-4461
Mailing address
401 2ND ST APT 5, HOQUIAM, WA 98550-2416
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160280665
WA
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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