TANNER WILLIAM SOUZA

VANCOUVER, WA
NPI1689505349
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  66113)
Enumeration Date2026-05-28
Last Update Date2026-05-28
Business Address
TANNER WILLIAM SOUZA
15401 NE 106TH ST
VANCOUVER, WA 98682-3086
Phone number: 775-781-7093
Mailing Address
TANNER WILLIAM SOUZA
15401 NE 106TH ST
VANCOUVER, WA 98682-3086
Phone number: