Individual
BRYNN ANN BLICKENSTAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8011 112TH STREET CT E, PUYALLUP, WA 98373-7814
(253) 848-0662
Mailing address
9315 GRAVELLY LAKE DR SW, SUITE 306, LAKEWOOD, WA 98499-1574
(253) 581-5200
(263) 581-5203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60652266
WA
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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