Individual
LIAM JET LAFOND VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
DPT
Contact information
Practice address
11800 NE 128TH ST, KIRKLAND, WA 98034-7208
(425) 548-6952
Mailing address
2108 1ST AVE W, SEATTLE, WA 98119-2619
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60477664
WA
Other
Enumeration date
12/04/2023
Last updated
11/08/2024
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