Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | PT 00005313 | WA |
NPI | 1033500715 |
---|---|
Provider Name | Marian Kranz |
First Address | Renton, WA 98058-0206 |
Second Address | Tacoma, WA 98405-1414 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2015 |
Last Update Date | 17/02/2015 |