Individual
DEBRA LYNNETTE BATHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST A
Contact information
Practice address
31919 1 ST AVE S, SUITE 101, FEDERAL WAY, WA 98003
(253) 874-3092
Mailing address
21907 39TH PLACE S, KENT, WA 98032
(206) 715-7968
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014931
FL
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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