Individual
CYNTHIA PATRICIA STALEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
837 CALLAHAN DRIVE, SUITE C, BREMERTON, WA 98310
(360) 479-8477
(360) 479-8417
Mailing address
5775 SOUNDVIEW DR, B103, GIG HARBOR, WA 98335
(253) 853-7956
(253) 853-7958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009725
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8435489
—
WA
Enumeration date
05/03/2006
Last updated
07/08/2007
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