Individual
MRS. KATHRYN DEROSIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1007 N ARNIM STREET, DEER PARK, WA 99006-1073
(509) 276-8529
Mailing address
PO BOX 1073, DEER PARK, WA 99006-1073
(509) 276-8529
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003284
WA
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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