MISS Summer Denali Ice-Tseng, DPT

NPI #1083802615 in Bothell, Washington

Provider Information

NPI Number: 1083802615
Entity Type: Individual
Name: MISS Summer Denali Ice-Tseng, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Oct 9, 2007
Last Updated: Oct 9, 2007

Practice Location

Address: 18120 BOTHELL WAY NE STE A1
City: Bothell
State: Washington
ZIP Code: 98011-1943
Phone: (425) 488-6640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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