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Darlene L Bumgarner, PTA

Physical Therapy Assistant in Renton, WA. Individual provider (NPI-1).

NPI number1427352012
StatusActive
Last updated in NPPESDec 22, 2010

Details

NPI
1427352012
Entity type
Individual (NPI-1)
Name
Darlene L Bumgarner
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
Dec 22, 2010
Last updated
Dec 22, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantP160031709WAYes

Practice location

400 S 43rd St
Renton, WA 98055-5714

Phone 425-251-5165 · Fax 425-656-4028

Mailing address

400 S 43rd St
Renton, WA 98055-5714

Phone 425-251-5165 · Fax 425-656-4028

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