Individual
MS. DENISE FUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
805 BROADWAY, VANCOUVER, WA 98660
(360) 823-0138
(360) 823-0141
Mailing address
12515 NE 5TH CT, VANCOUVER, WA 98685
(360) 573-2825
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7883
WA
Other
Enumeration date
06/04/2006
Last updated
09/20/2007
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