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1942594619
HEIDI KAYE BOLDT
FEDERAL WAY, WA
NPI
1942594619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA P160050009)
Enumeration Date
2011-05-30
Last Update Date
2011-05-30
Business Address
Mrs. HEIDI KAYE BOLDT PTA
1010 S 336TH ST STE 210
FEDERAL WAY, WA 98003-7354
Phone number: 253-835-8091
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Mailing Address
Mrs. HEIDI KAYE BOLDT PTA
36113 249TH AVE SE
ENUMCLAW, WA 98022-6845
Phone number: 360-802-5530
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