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Individual
MRS. MARLITA CHANTRY
Active
Individual
MRS. MARLITA CHANTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007570
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0208712
L & I
—
01
—
159194
L & I
WA
05
—
8335168
—
WA
Enumeration date
02/15/2006
Last updated
07/08/2007
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