Individual
MRS. CAROLYN WILSON LUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
916 PACIFIC AVE., EVERETT, WA 98206-1067
(425) 258-7304
(425) 258-7136
Mailing address
5709 147TH ST SE, EVERETT, WA 98208-9376
(425) 337-2128
(425) 258-7136
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005760
WA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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