Individual
ANN AKIKO FUJIMOTO-DISTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
588 SE BISHOP BLVD STE A, PULLMAN, WA 99163-5534
(509) 332-7778
(509) 332-7032
Mailing address
588 SE BISHOP BLVD STE A, PULLMAN, WA 99163-5534
(509) 332-7778
(509) 332-7032
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009214
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8378374
—
WA
Enumeration date
11/21/2006
Last updated
03/04/2008
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