Individual
MS. GINA MARIE ROCKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A
Contact information
Practice address
153 JOHNS CT, SHELTON, WA 98584-8225
(360) 427-2575
Mailing address
158 ROSEMARY ST, SHELTON, WA 98584-8230
(360) 427-0243
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
WA
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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