Individual
CONNIE JEAN DE MARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
116 FAIRVIEW AVE N, SEATTLE, WA 98109-5360
(206) 254-1456
Mailing address
7001 SEAVIEW AVE NW STE 160, SEATTLE, WA 98117-6021
(206) 861-4653
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160039700
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P160039700
WASHINGTON STATE DEPARTMENT OF HEALTH PHYSICAL THERAPIST ASSISTANT
WA
Enumeration date
11/15/2015
Last updated
11/21/2025
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