MS. Deborah Diane Fortman

NPI #1053461814 in Monroe, Washington

Provider Information

NPI Number
1053461814
Entity Type
Individual
Name
MS. Deborah Diane Fortman
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Enumeration Date
Jan 11, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
118 N LEWIS ST
Address 2
SUITE 113
City
Monroe
ZIP Code
98272-1516
Phone
(425) 879-5111

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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