Individual
MRS. GRACE ANNE VANALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1188 106TH AVE NE STE 100, BELLEVUE, WA 98004-8612
(425) 455-2630
Mailing address
909 112TH AVE NE APT 1210, BELLEVUE, WA 98004-8588
(215) 715-8370
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60685837
WA
225200000X
Physical Therapy Assistant
TE011033
PA
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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