Individual
BONNIE L MASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
429 HARRISON ST, PORT TOWNSEND, WA 98368-6614
(360) 385-5111
(360) 385-1180
Mailing address
429 HARRISON ST, PORT TOWNSEND, WA 98368-6614
(360) 385-5111
(360) 385-1180
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006571
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126233
L&I
WA
05
—
7097520
—
WA
Enumeration date
06/21/2005
Last updated
08/23/2011
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