Individual
ANN LARSON SPINK
Active
Individual
ANN LARSON SPINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00002551
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0157498
LABOR & INDUSTRIES
WA
01
—
103400600
U.S. DEPT OF LABOR (OWCP)
WA
01
—
650017406
RAILROAD MEDICARE
WA
01
—
8752SP
PREMERA BLUE CROSS
WA
Enumeration date
02/07/2007
Last updated
05/21/2018
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