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Individual

HEATHER D GLENN HOGBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
415 N. OLYMPIC AVE, ARLINGTON, WA 98223
(360) 435-9200
(360) 435-5047
Mailing address
415 N. OLYMPIC AVE, ARLINGTON, WA 98223
(360) 435-9200
(360) 435-5047

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
MA00022972
WA
225700000X
Massage Therapist
MA00022972
WA

Other

Enumeration date
01/17/2008
Last updated
11/08/2010
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