MARY E HALTER

PORT ORCHARD, WA
NPI1760727630
Former NameMARY E LEMONTE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CO  PTA.0013800)
Additional Taxonomies225200000X Physical Therapy Assistant
(Licence: WA  P160280598)
225200000X Physical Therapy Assistant
(Licence: VA  2306604047)
Enumeration Date2012-12-04
Last Update Date2016-07-06
Business Address
Mrs. MARY E HALTER PTA
2051 POTTERY AVE.
PORT ORCHARD, WA 98366
Phone number: 360-876-4461
Mailing Address
Mrs. MARY E HALTER PTA
4560 SE INDUSTRIAL WAY STE. 100
MILWAUKIE, OR 97222
Phone number: 971-206-5200