Individual
LAUREN BACKHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
728 134TH ST SW STE 203, EVERETT, WA 98204-5322
(425) 745-4345
Mailing address
4602 21ST DR W, EVERETT, WA 98203-1567
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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