Doctor Name: | INGRID MAY SLADE |
NPI Number: | 1417029752 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | PT00005152 |
Business Practice Address: | 5801 Soundview Dr Ste 4 Gig Harbor, WA - 983352095 |
Business Phone Number: | 2538518790 |
Business Fax Number: | |
Mailing Address: | 5801 Soundview Dr Ste 204, GIG HARBOR |
State: | WA |
Postal Code: | 983352215 |
Phone Number: | 2538518790 |
Fax Number: | |
NPI Enumeration Date: | 11/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT00005152 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |