Individual
EILEEN GWENDOLYN PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
30620 PACIFIC HWY S STE 107, FEDERAL WAY, WA 98003-4888
(253) 941-7555
(253) 941-0652
Mailing address
30620 PACIFIC HWY S STE 107, FEDERAL WAY, WA 98003-4888
(253) 941-7555
(253) 941-0652
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CO60371115
WA
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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