Individual
MS. THEA LYNN MARISTUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8502 N NEVADA ST, SUITE 2, SPOKANE, WA 99208-7395
(509) 487-2958
Mailing address
8502 N NEVADA ST, SUITE 2, SPOKANE, WA 99208-7395
(509) 487-2958
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT60171307
WA
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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