Individual
MARYLYNN H CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MST, KT
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, V3-PMRS-KT, PORTLAND, OR 97239-2964
(360) 696-4061
(360) 750-5382
Mailing address
PO BOX 648, VANCOUVER, WA 98666-0648
(360) 750-0015
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
1056
WA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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