Individual
SHINOBU TOMARU TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4320 196TH ST SW STE D, LYNNWOOD, WA 98036-6753
(425) 774-8758
Mailing address
20127 26TH DR SE, BOTHELL, WA 98012-7601
(425) 503-0536
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
61254806
WA
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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