Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | PT00005002 | WA |
NPI | 1134270218 |
---|---|
Provider Name | Pamela A Harper |
First Address | Woodinville, WA 98077-6753 |
Second Address | Woodinville, WA 98072-3564 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2007 |
Last Update Date | 08/07/2007 |