Individual
MARISA IVONNE VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APTA
Contact information
Practice address
532 OREGON ST, RAYMOND, WA 98577-9142
(806) 930-0604
Mailing address
224 BINKLEY AVE, DUMAS, TX 79029-3827
(806) 930-0604
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2165126
TX
225200000X
Physical Therapy Assistant
Primary
2165126
WA
Other
Enumeration date
09/09/2021
Last updated
09/27/2024
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