Individual
MERRY JAYNE GRAVLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA60160263
Contact information
Practice address
12118 WADDELL CREEK RD SW, OLYMPIA, WA 98512-5922
(360) 951-9065
Mailing address
12118 WADDELL CREEK RD SW, OLYMPIA, WA 98512-5922
(360) 951-9065
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA60160263
WA
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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