Individual
KRISTEN DISBROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 397-1500
(360) 397-3128
Mailing address
PO BOX 873010, VANCOUVER, WA 98687-3010
(360) 397-3352
(360) 604-1771
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009497
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8418436
—
WA
Enumeration date
05/27/2006
Last updated
07/13/2015
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