Individual
MRS. CHRISTINE CHAN MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
18107 BOTHELL WAY NE, SUITE 106, BOTHELL, WA 98011-1900
(425) 487-3142
(425) 487-8785
Mailing address
4601 - 121ST AVE. S.E., BELLEVUE, WA 98006-2827
(425) 614-0605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002610
WA
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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