Individual
MS. AUDRA ANNE MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
16259 SYLVESTER RD SW, SUITE 102, BURIEN, WA 98166
(206) 242-5186
(206) 241-8467
Mailing address
123 CHICAGO BLVD S, PACIFIC, WA 98047
(206) 384-0798
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8764
WA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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