Individual
FAWN COUSSENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
4828 CALIFORNIA AVE SW, SEATTLE, WA 98116-4415
(206) 632-0163
(206) 932-2353
Mailing address
4828 CALIFORNIA AVE SW, SEATTLE, WA 98116-4415
(206) 632-0163
(206) 932-2353
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008823
WA
Other
Enumeration date
05/27/2006
Last updated
08/26/2022
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