Individual
EDYTA MAGDALENA KLACZYNSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
21400 72ND AVE W, EDMONDS, WA 98026-7702
(425) 775-1961
Mailing address
6429 146TH ST SW, EDMONDS, WA 98026-3520
(425) 743-4912
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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