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Individual

MERCEDES CHRISTINA FRIEND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
6419 LAKEWOOD DR W, UNIVERSITY PLACE, WA 98467-3331
(253) 531-8873
(253) 854-7025
Mailing address
10811 SE KENT KANGLEY RD, KENT, WA 98030-7108
(253) 854-5660
(253) 854-7025

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT60993293
WA
2251P0200X
Pediatric Physical Therapist
Primary
PT60993293
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2141589
WA
Enumeration date
08/16/2019
Last updated
12/28/2022
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