Individual
NATTIKA DETSKULTORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 4TH AVE NW STE 100, ISSAQUAH, WA 98027-9371
(425) 392-7989
Mailing address
6604 S BANGOR ST, SEATTLE, WA 98178-2525
(503) 432-6642
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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