Individual
ELAINE M. HANIFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
730 NW GILMAN BLVD, SUITE C 108, ISSAQUAH, WA 98027-5326
(425) 391-6794
(425) 391-1525
Mailing address
730 NW GILMAN BLVD, SUITE C 108, ISSAQUAH, WA 98027-5326
(425) 391-6794
(425) 391-1525
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007289
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0160455
LABOR & INDUSTRIES
WA
Enumeration date
04/26/2007
Last updated
07/08/2007
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