Individual
ADELE MARIE BOOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2325 189TH PL NE, ARLINGTON, WA 98223-9705
(360) 654-8926
Mailing address
2325 189TH PL NE, ARLINGTON, WA 98223-9705
(360) 654-8926
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
0005007
WA
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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