Individual
BIRGIT JENNIFER BROADSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
17077 MERIDIAN AVE N, SHORELINE, WA 98133-5531
(206) 393-1704
(206) 393-1787
Mailing address
17077 MERIDIAN AVE N, SHORELINE, WA 98133-5531
(206) 393-1704
(206) 393-1787
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
00003582
WA
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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