Individual
DAGMAR HELMA GROWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1307 25TH CT NE, OLYMPIA, WA 98506-3302
(360) 701-7027
Mailing address
1307 25TH CT NE, OLYMPIA, WA 98506-3302
(360) 701-7027
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA5041
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169922
DEPARTMENT OF LABOR AND INDUSTRIES
WA
Enumeration date
07/08/2008
Last updated
07/08/2008
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