Doctor Name: | MRS. CHRISTINE CHAN MARK |
NPI Number: | 1285778332 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT00002610 |
Business Practice Address: | 18107 Bothell Way Ne Suite 106 Bothell, WA - 980111900 |
Business Phone Number: | 4254873142 |
Business Fax Number: | 4254878785 |
Mailing Address: | 4601 - 121st Ave. S.e., BELLEVUE |
State: | WA |
Postal Code: | 980062827 |
Phone Number: | 4256140605 |
Fax Number: | |
NPI Enumeration Date: | 02/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00002610 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |