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Individual

MARISSA NORTHUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15906 MILL CREEK BLVD, MILL CREEK, WA 98012-1797
(425) 332-1030
Mailing address
18818 FREMONT AVE N, SHORELINE, WA 98133-3823
(206) 200-9779

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60968438
WA

Other

Enumeration date
03/17/2021
Last updated
03/17/2021
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