Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Feb 6, 2007
License(s)
PT00006298 (WA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 515 MINOR AVE SUTIE 22 | Seattle, WA 98104-2112 | 206-386-5600 |
| MAILING | 790 REMINGTON BLVD | Bolingbrook, IL 60440-4909 | 630-296-2223 |
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