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1053545475
MARY ELLEN BROERSMA
SEATTLE, WA
NPI
1053545475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PTG0083544)
Enumeration Date
2009-05-13
Last Update Date
2014-02-04
Business Address
-- MARY ELLEN BROERSMA PT
509 OLIVE WAY STE. 1011
SEATTLE, WA 98101-1720
Phone number: 206-623-4570
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Mailing Address
-- MARY ELLEN BROERSMA PT
16083 SW UPPER BOONES FERRY RD SUITE 300
TIGARD, OR 97224-7736
Phone number: 800-219-8835
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