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Individual

ELIZABETH LYNN MALATESTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.T

Contact information

Practice address
14841 179TH AVE SE STE 120, MONROE, WA 98272-1127
(360) 794-1407
Mailing address
416 N 70TH ST, SEATTLE, WA 98103-5018
(307) 421-8970

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 60164509
WA

Other

Enumeration date
04/13/2011
Last updated
04/13/2011
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