Individual
GRACE HENSON MANABAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2522 131ST PL SE, EVERETT, WA 98208-7104
(425) 773-4445
Mailing address
2522 131ST PL SE, EVERETT, WA 98208-7104
(425) 773-4445
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4429
WA
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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