Individual
LAURA BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2612 3RD AVENUE, SEATTLE, WA 98121
(206) 686-4073
(206) 260-4565
Mailing address
1612 NE 75TH ST, SEATTLE, WA 98115-4372
(206) 854-1809
(206) 260-4565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009881
WA
Other
Enumeration date
12/02/2005
Last updated
06/17/2013
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