Individual
CHRYSTA PANTOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8540 SCARBOROUGH DR, SUITE 200, COLORADO SPRINGS, CO 80920-7502
(719) 314-2308
Mailing address
5025 164TH ST SW, EDMONDS, WA 98026-4804
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160544938
WA
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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