Individual
MS. LAURA ANGELA CARREON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 339-5419
(425) 339-4219
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
007426
CT
225100000X
Physical Therapist
Primary
PT00009587
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2032319
—
WA
Enumeration date
03/05/2007
Last updated
11/21/2014
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