Individual
LOUISE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6720 E GREEN LAKE WAY N, SEATTLE, WA 98103-5439
(503) 853-3173
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(503) 853-3173
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61553616
WA
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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