Individual
ALEXIS ANNE EUSTERBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11821 NE 128TH ST STE C, KIRKLAND, WA 98034-7210
(425) 285-1250
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00010524
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0290887
DEPT. OF LABOR AND INDUSTRIES
WA
05
—
8492563
—
WA
Enumeration date
08/01/2007
Last updated
07/07/2015
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