Organization
SUPPLEMENTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY ELIZABETH DANNEMILLER PTA (PTA)
(206) 310-5474
Entity
Organization
Contact information
Practice address
556 ANACORTES CT NE UNIT 102, RENTON, WA 98059-5768
(206) 310-5474
Mailing address
556 ANACORTES CT NE UNIT 102, RENTON, WA 98059-5768
(206) 310-5474
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
WA
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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