Individual
DEAN ERNLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
2051 POTTERY AVE, PORT ORCHARD, WA 98366-2010
(360) 876-4461
Mailing address
2051 POTTERY AVE, PORT ORCHARD, WA 98366-2010
(360) 876-4461
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160189819
WA
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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