Individual
CHRISTINA LYNN SANSEVERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2031 POTTERY AVE, PORT ORCHARD, WA 98366-2010
(360) 876-8035
Mailing address
2015 E 16TH ST, BREMERTON, WA 98310-4411
(360) 471-2645
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60343923
WA
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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