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1578797411
TANIA EVELYN PETERSON
PUYALLUP, WA
NPI
1578797411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA P160033455)
Enumeration Date
2009-05-06
Last Update Date
2009-05-06
Business Address
Mrs. TANIA EVELYN PETERSON PTA
909 MERIDIAN ST S
PUYALLUP, WA 98371-6908
Phone number: 253-845-6631
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Mailing Address
Mrs. TANIA EVELYN PETERSON PTA
909 MERIDIAN ST S
PUYALLUP, WA 98371-6908
Phone number: 253-845-6631
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