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1326232265
BETH ALTA SANDOVAL
PORT ANGELES, WA
NPI
1326232265
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Former Name
BETH ALTA WELANDER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00010627)
Enumeration Date
2007-09-04
Last Update Date
2013-03-11
Business Address
-- BETH ALTA SANDOVAL P.T.
1114 GEORGIANA ST
PORT ANGELES, WA 98362-4212
Phone number: 360-452-6216
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Mailing Address
-- BETH ALTA SANDOVAL P.T.
16083 SW UPPER BOONES FERRY RD SUITE 300
TIGARD, OR 97224-7736
Phone number: 800-219-8835
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