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1144608464
CHRYSTA PANTOHAN
COLORADO SPRINGS, CO
NPI
1144608464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA P160544938)
Enumeration Date
2015-05-07
Last Update Date
2015-05-07
Business Address
CHRYSTA PANTOHAN PTA
8540 SCARBOROUGH DR SUITE 200
COLORADO SPRINGS, CO 80920-7502
Phone number: 719-314-2308
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Mailing Address
CHRYSTA PANTOHAN PTA
5025 164TH ST SW
EDMONDS, WA 98026-4804
Phone number:
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