Individual
SANDRA LYNNE MELANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
3330 MONTE VILLA PKWY, BOTHELL, WA 98021-8972
(425) 408-7709
Mailing address
22907 NE 165TH ST, WOODINVILLE, WA 98077-7405
(425) 408-6057
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
0252080000
WA
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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