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Individual

ALICIA DIANE CHUNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3823 DELRIDGE WAY SW, SEATTLE, WA 98106
(206) 301-0600
(206) 301-0601
Mailing address
3823 DELRIDGE WAY SW, SEATTLE, WA 98106
(206) 301-0600
(206) 301-0601

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT600184885
WA
225100000X
Physical Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
096001624
LICENSE #
IL
Enumeration date
08/24/2006
Last updated
11/08/2019
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