Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | PT60199249 | WA |
NPI | 1093901209 |
---|---|
Provider Name | Amy K Low |
First Address | Richland, WA 99352-9687 |
Second Address | Richland, WA 99352-9687 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2007 |
Last Update Date | 09/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PT 60199249 | WASHINGTON STATE DEPARTMENT OF HEALTH (01) | WA |