Individual
ASA ADDISON HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1116 E LAURIDSEN BLVD, PORT ANGELES, WA 98362-6640
(360) 452-9206
Mailing address
1116 E LAURIDSEN BLVD, PORT ANGELES, WA 98362-6640
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60343897
WA
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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