Individual
GRACE KU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
925 SENECA ST, SEATTLE, WA 98101-2742
(206) 341-0461
Mailing address
PO BOX 741515, LOS ANGELES, CA 90074-1515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
118875692401
UT
225100000X
Physical Therapist
Primary
CP003443T
WA
Other
Enumeration date
10/08/2020
Last updated
09/30/2024
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