Individual
CHRISTY LYNN ENGRACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
24121 116TH AVE SE, KENT, WA 98030-5379
(253) 856-1600
Mailing address
3032 16TH ST SE, AUBURN, WA 98092-6462
(928) 846-9214
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10227
AZ
225100000X
Physical Therapist
Primary
60572607
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10227
ARIZONA PT LICENSE
AZ
01
—
60572607
WA PT LICENSE
WA
Enumeration date
09/27/2013
Last updated
12/08/2021
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