Individual
DEBORAH JEAN KRISTOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2312 N 30TH ST, STE 101, TACOMA, WA 98403
(253) 396-9001
(253) 396-1231
Mailing address
2312 N 30TH ST, STE 101, TACOMA, WA 98403
(253) 396-9001
(253) 396-1231
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0152660
LABOR AND INDUSTRIES
WA
01
—
0152661
L AND I GROUP
WA
05
—
710935
—
WA
Enumeration date
01/24/2006
Last updated
09/03/2010
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