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Individual

AUSTEN L STUTSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT, NREMT

Contact information

Practice address
405 NW GILMAN BLVD, SUITE 200, ISSAQUAH, WA 98027-2470
(425) 392-6804
(425) 392-6805
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6743
SC
225100000X
Physical Therapist
Primary
WA

Other

Enumeration date
07/31/2012
Last updated
07/09/2015
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