Provider Demographics
NPI:1598002941
Name:FLUNDER, TOYA (TOYA FLUNDER)
Entity type:Individual
Prefix:MRS
First Name:TOYA
Middle Name:
Last Name:FLUNDER
Suffix:
Gender:F
Credentials:TOYA FLUNDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17077 MERIDIAN AVE N
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-5531
Mailing Address - Country:US
Mailing Address - Phone:206-393-1702
Mailing Address - Fax:206-393-4259
Practice Address - Street 1:17077 MERIDIAN AVE N
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-5531
Practice Address - Country:US
Practice Address - Phone:206-393-1702
Practice Address - Fax:206-393-4259
Is Sole Proprietor?:No
Enumeration Date:2013-01-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAP1 600033354225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP1 600033354OtherWASHINGTON STATE DEPARTMENT OF HEALTH