Individual
EMILY CHRISTINE FORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT60022073
Contact information
Practice address
2815 43RD ST, GIG HARBOR, WA 98335-1771
(253) 970-9193
Mailing address
2815 43RD ST, GIG HARBOR, WA 98335-1771
(253) 970-9193
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60022073
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT60022073
LICENSE
WA
Enumeration date
07/09/2008
Last updated
04/05/2024
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