Individual
KAREN BLUE EVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
710 NW JUNIPER ST, SUITE 104, ISSAQUAH, WA 98027-2717
(425) 392-7989
Mailing address
23310 SE 26TH PL, SAMMAMISH, WA 98075-6011
(425) 392-7004
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT00006156
WA
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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