MICHAELA JANE DE GROOT

LACEY, WA
NPI1124674965
Former NameMICHAELA JANE CORRENTE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT.PT.60990651)
Enumeration Date2019-08-16
Last Update Date2019-08-16
Business Address
MICHAELA JANE DE GROOT PT, DPT
4800 COLLEGE ST SE
LACEY, WA 98503-4389
Phone number: 360-486-2900
Mailing Address
MICHAELA JANE DE GROOT PT, DPT
5210 N 43RD ST
TACOMA, WA 98407-3704
Phone number: