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Individual

MS. LAVNIKA ANAND MISHRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT, MPT

Contact information

Practice address
3707, PROVIDENCE POINT SE SUITE D, ISSAQUAH, WA 98029
(425) 620-4384
Mailing address
1004 121ST AVE SE, LAKE STEVENS, WA 98258-9009
(425) 469-7388

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61263513
WA
2251N0400X
Neurology Physical Therapist
PT61263513
WA
2251P0200X
Pediatric Physical Therapist
PT61263513
WA

Other

Enumeration date
09/25/2023
Last updated
09/25/2023
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