Individual
DR. DYAN NICOLE PROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
17141 VASHON HWY SW, # 103, VASHON, WA 98070-4603
(206) 463-3441
(206) 463-3089
Mailing address
PO BOX 921, VASHON, WA 98070-0921
(206) 463-1100
(206) 463-1100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT00007497
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8340178
—
WA
Enumeration date
04/18/2007
Last updated
06/27/2017
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