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Individual

LAURA FLAHERTY CLEMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.T.

Contact information

Practice address
21009 76TH AVE W, AXIS PHYSICAL THERAPY INC, EDMONDS, WA 98026-7126
(425) 672-2910
(425) 778-1872
Mailing address
21009 76TH AVE W, AXIS PHYSICAL THERAPY INC, EDMONDS, WA 98026-7126
(425) 672-2910
(425) 778-1872

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60141891
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417271271
WA
Enumeration date
03/23/2010
Last updated
09/15/2017
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