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1720478050
ASHLEY PETTYJOHN
PORT ORCHARD, WA
NPI
1720478050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA P160280665)
Enumeration Date
2015-01-26
Last Update Date
2015-01-26
Business Address
-- ASHLEY PETTYJOHN PTA
2051 POTTERY AVE
PORT ORCHARD, WA 98366-2010
Phone number: 360-876-4461
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Mailing Address
-- ASHLEY PETTYJOHN PTA
401 2ND ST APT 5
HOQUIAM, WA 98550-2416
Phone number:
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