Individual
AERIE GLOWKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4219 6TH AVE SE STE B, LACEY, WA 98503-1065
(360) 455-4448
(360) 455-9833
Mailing address
111 TUMWATER BLVD SE STE 113, TUMWATER, WA 98501-6422
(360) 528-3300
(360) 528-8162
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60745467
WA
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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