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Individual

MRS. STEPHANIE L HENRIKSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2517 5TH AVE, SEATTLE, WA 98121-1515
(206) 351-8916
Mailing address
2517 5TH AVE, SEATTLE, WA 98121-1515
(206) 351-8916

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60230110
WA

Other

Enumeration date
05/06/2013
Last updated
05/06/2013
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