Ann Mariko Bouse, PT

NPI #1265693618 in Wilsonville, Oregon

Provider Information

NPI Number
1265693618
Entity Type
Individual
Name
Ann Mariko Bouse, PT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Jun 18, 2008
Last Updated
Jun 18, 2008

Practice Location

Address
25117 SW PARKWAY AVE
Address 2
SUITE D
State
Oregon
ZIP Code
97070-9697
Phone
(503) 570-3665

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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