Individual
MARY BEAUDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10117 MAIN ST, BOTHELL, WA 98011-3425
(425) 806-5525
Mailing address
5430 W INTERURBAN BLVD, BOTHELL, WA 98012-6719
(425) 877-1156
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA60598749
WA
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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