Individual
MRS. TAMMY DENISE ROLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
209 N DAVIS LN, SPOKANE VALLEY, WA 99216-3207
(509) 892-1495
Mailing address
209 N DAVIS LN, SPOKANE VALLEY, WA 99216-3207
(509) 892-1495
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT00009058
WA
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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