Individual
MS. MARY ELLEN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18018 COBAHUD RD, LA CONNER, WA 98257-9330
(360) 755-0711
Mailing address
18018 COBAHUD RD, LA CONNER, WA 98257-9330
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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