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Individual

CORAL JENNIFER LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
100 NE NORTHLAKE WAY STE 200B, SEATTLE, WA 98105
(206) 547-7445
(206) 913-2486
Mailing address
100 NE NORTHLAKE WAY STE 200B, SEATTLE, WA 98105-6869
(206) 547-7445

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
60822294
WA

Other

Enumeration date
05/10/2018
Last updated
05/17/2018
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