Individual
ANGELA DEFAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T
Contact information
Practice address
463 TREMONT ST W, SUITE 100, PORT ORCHARD, WA 98366-3743
(360) 874-0745
Mailing address
463 TREMONT ST W, SUITE 100, PORT ORCHARD, WA 98366-3743
(360) 874-0745
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60161880
WA
Other
Enumeration date
06/21/2014
Last updated
06/21/2014
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