Individual
MS. DEBORAH DIANE FORTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 N LEWIS ST, SUITE 113, MONROE, WA 98272-1516
(425) 879-5111
(360) 794-5907
Mailing address
118 N LEWIS ST, SUITE 113, MONROE, WA 98272-1516
(425) 879-5111
(360) 794-5907
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00014147
WA
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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