Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | PT00009943 | WA |
NPI | 1316146137 |
---|---|
Provider Name | Anne Marie Christine Mcmurtrey |
First Address | Auburn, WA 98002-2410 |
Second Address | Auburn, WA 98002-2410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2007 |
Last Update Date | 12/07/2007 |