| Doctor Name: | MRS. MARY LISA PRINCE |
| NPI Number: | 1649284480 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPT |
| License Number: | PT00008397 |
| Business Practice Address: | 15600 Redmond Way Suite 300 Redmond, WA - 980523862 |
| Business Phone Number: | 4258839089 |
| Business Fax Number: | 4258691355 |
| Mailing Address: | 11711 Ne 12th St, #3a BELLEVUE |
| State: | WA |
| Postal Code: | 980052461 |
| Phone Number: | 4254509474 |
| Fax Number: | 4254520704 |
| NPI Enumeration Date: | 07/28/2006 |
| NPI Last Update Date: | 08/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00008397 |
| 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 |