Individual
ANGELA M BETTENCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12121 HARBOUR REACH DR STE 100, MUKILTEO, WA 98275-5314
(425) 493-8313
(425) 493-9614
Mailing address
12121 HARBOUR REACH DR STE 100, MUKILTEO, WA 98275-5314
(425) 493-8313
(425) 493-9614
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003106
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8350928
—
WA
Enumeration date
02/06/2007
Last updated
07/08/2007
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