Individual
REBECCA A FORKAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
20109 AURORA AVE N STE 105, SHORELINE, WA 98133-3127
(206) 801-7546
(206) 801-7547
Mailing address
8007 NE 147TH LN, KENMORE, WA 98028-4762
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
PT00009853
WA
2251X0800X
Orthopedic Physical Therapist
PT00009853
WA
Other
Enumeration date
03/19/2007
Last updated
01/03/2017
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