Most Relevant Information
Provider Data
| NPI Number: | 1003013855 |
| Provider Name: | MISTY AMBER OAKES PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 3117 |
Most Important Dates
| Enumeration Date: | 06/27/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2701 CLARE AVE
BREMERTON
WA
983103313
Practice Location Phone/Fax
| Phone: | 3603773951 |
| Fax: |
Provider Mailing Location
1006 PARKSIDE DR APT 112
BREMERTON
WA
983104306
Provider Mailing Phone/Fax
| Phone: | 7048600220 |
| Fax: |