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Individual

MS. MIYE NAKAHARA FONSECA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D PT

Contact information

Practice address
15600 REDMOND WAY NE, SUITE 300, REDMOND, WA 98052
(425) 883-9089
(425) 869-1355
Mailing address
15600 REDMOND WAY NE, SUITE 300, REDMOND, WA 98052
(425) 883-9089
(425) 869-1355

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT 00010867
WA
2251X0800X
Orthopedic Physical Therapist
PT 32641
CA

Other

Enumeration date
05/04/2006
Last updated
06/19/2009
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