Individual
MRS. KATHRYN E BLACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3009 3RD AVE W APT 3, UNIT 3, SEATTLE, WA 98119-1926
(206) 271-4596
Mailing address
3009 3RD AVE W APT 3, UNIT 3, SEATTLE, WA 98119-1926
(206) 271-4596
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00009786
WA
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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