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Individual

MRS. SHELLEY JEAN ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
310 4TH ST, WOODLAND, WA 98674-8488
(360) 225-9443
Mailing address
2907 SE 2ND AVE, CAMAS, WA 98607-2316
(360) 210-5171

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8193
OR

Other

Enumeration date
07/05/2007
Last updated
07/08/2007
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