Individual
MRS. BEVERLY J MARCINKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7300 208TH AVE NE, REDMOND, WA 98053-4719
(425) 936-2760
Mailing address
PO BOX 97039, REDMOND, WA 98073-9739
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 60106896
WA
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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