Individual
LISA BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5029 EVERGREEN WAY, EVERETT, WA 98203-2826
(425) 252-1642
(425) 258-1824
Mailing address
1519 132ND ST SE, SUITE A, EVERETT, WA 98208-7203
(425) 337-9556
(425) 357-9382
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0008794
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
244925
DEPT OF L&I
WA
01
—
8470742
DSHS
WA
01
—
8950221
L&I CRIME
WA
Enumeration date
07/30/2007
Last updated
02/27/2009
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