Individual
FIRLY TINUNGKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11802 4TH AVE W APT B308, EVERETT, WA 98204-4952
(425) 343-6587
Mailing address
11802 4TH AVE W APT B308, EVERETT, WA 98204-4952
(425) 343-6587
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60501258
WA
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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