Individual
ANNA NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4411 POINT FOSDICK DR NW STE 101, GIG HARBOR, WA 98335-1703
(253) 851-7472
(253) 851-7473
Mailing address
4411 POINT FOSDICK DR NW STE 101, GIG HARBOR, WA 98335-1703
(253) 851-7472
(253) 851-7473
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160043332
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124801
LABOR & INDUSTRIES
WA
05
—
7090186
—
WA
05
—
7682057
—
WA
Enumeration date
04/01/2014
Last updated
04/01/2014
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