Individual
CARISSA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5150 220TH AVE SE, ISSAQUAH, WA 98029-6834
(603) 738-9638
Mailing address
1718 NE 143RD ST, SEATTLE, WA 98125-3235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61228489
WA
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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