Individual
LYNN GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19401 40TH AVE W STE 330, LYNNWOOD, WA 98036-5600
(425) 670-9987
Mailing address
19401 40TH AVE W STE 330, LYNNWOOD, WA 98036-5600
(425) 670-9987
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160496886
WA
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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