Individual
REBECCA VISINTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5918 206TH STREET CT E, SPANAWAY, WA 98387-5785
(612) 845-1087
Mailing address
5918 206TH STREET CT E, SPANAWAY, WA 98387-5785
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60256234
WA
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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