Organization
RAVENNA PHYSICAL THERAPY LLC
Active
Other names
Avant Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA BANNISTER DPT (OWNER/PHYSICAL THERAPIST)
(206) 686-4073
Entity
Organization
Contact information
Practice address
2612 3RD AVE, SEATTLE, WA 98121-1214
(206) 686-4073
(206) 260-4565
Mailing address
2612 3RD AVE, SEATTLE, WA 98121-1214
(206) 686-4073
(206) 260-4565
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT00009881
WA
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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