Individual
MRS. CHRISTINE DAWN WITHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1010 SOUTH 336TH STREET, SUITE 210, FEDERAL WAY, WA 98003
(866) 835-8091
Mailing address
53 HYLEBOS AVENUE, MILTON, WA 98354
(253) 517-5992
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60031488
WA
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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