Individual
BONNIE KEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
927 E FAIRHAVEN AVE, BURLINGTON, WA 98233-1918
(360) 757-3311
Mailing address
927 E FAIRHAVEN AVE, BURLINGTON, WA 98233-1918
(360) 757-3311
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60469533
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016728
—
WA
Enumeration date
05/01/2015
Last updated
05/01/2015
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