Individual
HEATHER ANNE ERVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14809 89TH AVE SE, YELM, WA 98597
(360) 280-1859
Mailing address
14809 89TH AVE SE, YELM, WA 98597-8648
(360) 280-1859
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60043761
WA
Other
Enumeration date
08/11/2017
Last updated
07/21/2022
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