Individual
MARIAH JOY TANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5410 CALIFORNIA AVE SW # 101, SEATTLE, WA 98136-1562
(206) 913-8082
Mailing address
5410 CALIFORNIA AVE SW # 101, SEATTLE, WA 98136-1562
(206) 913-8082
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
WA
Enumeration date
04/03/2019
Last updated
04/06/2020
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