Individual
ELAINE C ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3710 168TH ST NE, #A102, ARLINGTON, WA 98223-8461
(360) 658-8100
(360) 658-0508
Mailing address
10505 19TH AVE SE, STE B, EVERETT, WA 98208-4280
(408) 570-0510
(408) 945-4018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00000586
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8351017
—
WA
Enumeration date
02/06/2007
Last updated
03/13/2013
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