Individual
KRISTINE MARQUEZ MILITANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1609 SE 92ND CT, VANCOUVER, WA 98664-2860
(360) 737-7527
Mailing address
2756 NW EDENBOWER BLVD, APT 7, ROSEBURG, OR 97471-6228
(360) 980-2899
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5553
OR
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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