Individual
MS. MARY JO STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2051 POTTERY AVENUE, PORT ORCHARD, WA 98366
(360) 876-4461
Mailing address
4560 SE INTERNATIONAL WAY, STE. 100, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5203
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160039428
WA
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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