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Jody Provine, PTA
NPI 1841669272 · on the registry since 2015 · sole proprietor
Practice
- Address
- 219 Cedar Ave S
North Bend, WA 98045 - Phone
- (425) 888-2129
- Organisation at this address
- Bd North Bend I, Llc
Middles Holdings Llc
Mt Si Transitional Health CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Skilled Nursing Facility
314000000X
- Sex
- Female
- Record last updated
- 2015-09-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington