Individual
RANDI COMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20308 127TH STREET CT E, BONNEY LAKE, WA 98391-5470
(253) 332-0762
Mailing address
20308 127TH STREET CT E, BONNEY LAKE, WA 98391-5470
(253) 332-0762
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160281344
WA
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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