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Individual

MRS. KRISTINE L REGIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
3726 BROADWAY, SUITE 104, EVERETT, WA 98201-5030
(425) 252-4600
(425) 252-4477
Mailing address
11805 N CREEK PKWY S, STE 113, BOTHELL, WA 98011-8803
(425) 806-5700
(425) 806-5751

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006449
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8376436
WA
Enumeration date
02/09/2007
Last updated
08/22/2009
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