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Individual

ANNALISE D DUSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
4220 132ND ST SE, SUITE 101, MILL CREEK, WA 98012-8999
(425) 686-7655
(425) 341-9060
Mailing address
4220 132ND ST SE, SUITE 101, MILL CREEK, WA 98012-8999
(425) 316-8046
(425) 338-9637

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8627
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0325495
L & I
WA
01
0325524
L & I
WA
01
0325564
L & I
WA
01
0325566
L & I
WA
Enumeration date
10/19/2009
Last updated
12/03/2014
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