Queen, Marisella A
Queen, Marisella A is an individual health care provider with primary practice located at 301 S 320Th St , Federal Way WA 98003-5200. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Queen, Marisella A can be contacted via phone (253) 874-7000.Contact Information
Primary practice address
301 S 320Th St
Federal Way WA 98003-5200
Phone: (253) 874-7000
Fax: (253) 874-7557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00010316 | Washington |
Profile Details
| NPI number | 1831252188 |
|---|---|
| LBN Legal business name | Queen, Marisella A |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Apr 30th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831252188 | NPPES |
| Washington | MEDICAID | 1831252188 |
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