Individual
CHARLOTTE WANGELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16259 SYLVESTER RD SW STE 102, BURIEN, WA 98166-3094
(206) 242-5186
Mailing address
1415 NE RAVENNA BLVD APT 210, SEATTLE, WA 98105-2641
(425) 233-0742
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.P1.60928094
WA
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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