Individual
CHRISTI A VAN DEUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64426
WA
225100000X
Physical Therapist
PT0007779
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039585
LABOR AND INDUSTRIES#
WA
05
—
8337354
—
WA
01
—
P00126564
RAILROAD MC#
WA
01
—
US2297155
AETNA SPECIALIST PIN
WA
01
—
VA2194
BLUE SHIELD #
WA
Enumeration date
01/18/2007
Last updated
03/28/2024
Update your record
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