Individual
LADELLA BAREITHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4015 164TH ST SW, LYNNWOOD, WA 98087-6902
(425) 640-8529
Mailing address
13225 33RD PLACE WEST, LYNNWOOD, WA 98087
(206) 412-9290
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160124238
WA
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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