Ann Mariko Bouse, PT Valid NPI
Individual provider · Physical Therapist · Wilsonville, OR
- NPI
- 1265693618
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 4154 (OR)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2008-06-18
- Last updated
- 2008-06-18
Practice location
25117 Sw Parkway Ave, Suite D
Wilsonville, OR 97070-9697
(503) 570-3665