Firly Tinungki

NPI 1043618705 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1043618705
Gender Female
Enumeration Date 12/11/2014
Last Updated 12/11/2014
Entity Type Individual
Active Over 1 year ago
Practice Location
11802 4TH AVE W APT B308
EVERETT WA, 98204-4952, US
Phone (425) 343-6587
Fax
Business Location
11802 4TH AVE W APT B308
EVERETT WA, 98204-4952, US
Phone (425) 343-6587
Fax
Toxanomy
Taxonomy Code 225200000X
License State Washington
License Number P1 60501258
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According to our database, Firly Tinungki NPI is 1043618705, taxonomy code is 225200000X and license number is P1 60501258, license state is located at Washington. Firly Tinungki physically located at 11802 4th Ave W Apt B308, Everett WA, 98204-4952. NPI Number Firly Tinungki has the Individual type.

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1043618705 NPI number is provided on an as is basis without warranty of any kind. 1043618705 is maintained by the National Plan & Provider Enumeration System. The contents of Firly Tinungki are for informational purposes only.