Individual
MS. KRISTINE M BOMBARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,,MPT
Contact information
Practice address
34503 9TH AVE S STE 300, FEDERAL WAY, WA 98003-8726
(253) 835-5632
Mailing address
34503 9TH AVE S STE 300, FEDERAL WAY, WA 98003-8726
(253) 835-5632
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008134
WA
225100000X
Physical Therapist
PT018137
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039585
LABOR AND INDUSTRIES # VM
WA
01
—
5539BO
BLUE SHIELD # VM
WA
Enumeration date
03/22/2007
Last updated
05/04/2008
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