Individual
THEA E BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6030 BOTHELL EVERETT HWY, #140, MILL CREEK, WA 98012
(425) 338-9005
Mailing address
74 MIDLAND AVE, GLEN RIDGE, NJ 07028-2033
(973) 525-7611
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT61006212
WA
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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