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Individual

MS. FAIE M HENNABERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP, CCT

Contact information

Practice address
11815 93RD LN NE, #102, KIRKLAND, WA 98034-3682
(425) 242-1662
Mailing address
11815 93RD LN NE, #102, KIRKLAND, WA 98034-3682
(425) 242-1662

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA 00004420
WA

Other

Enumeration date
05/01/2010
Last updated
05/01/2010
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